1095-C Part III: Self-Insured dialog

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Use the 1095-C Part III: Self-Insured dialog to provide information about individuals who are covered under the self-insured employee's insurance plan.

Note: Part III of Form 1095-C only needs to be completed if the employer offers employer-sponsored self-insured health coverage in which the employee or other individual enrolled.

Choose Setup > Employees, click the Personal tab, and then click the 1095-C Part III: Self-Insured button.

Fields & Buttons

Covered Individuals grid. Enter name, Social Security number, date of birth, and coverage information for each individual covered during the reporting year. If an individual was covered for the entire year, mark the All 12 checkbox. Otherwise, mark the checkboxes for the individual months in which they were covered by the employee's insurance.

To delete a row of information in the grid, highlight the row and then press the DELETE key on your keyboard.

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