Form 1095-C consists of three parts:
- Employee and Employer Information (Part I) reports information about you and your employer.
- Employee Offer and Coverage (Part II) reports information about the coverage offered to you by your employer, the affordability of the coverage offered, and the reason why you were or were not offered coverage by your employer.
- Covered Individuals (Part III) reports information about the individuals (including dependents) covered under a self-insured plan. The County does not offer a self-insured medical plan, so this section does not apply.