Edit, Download, and Sign the Walmart 1095-C Health Insurance Coverage Form
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How do I fill this out?
To fill out the Walmart 1095-C form, begin by gathering necessary personal information. Carefully examine each section for accuracy. Ensure that all required fields are completed before submission.

How to fill out the Walmart 1095-C Health Insurance Coverage Form?
1
Gather all necessary personal information.
2
Review each section for accuracy before filling.
3
Complete all required fields including your SSN.
4
Double-check the details for completeness.
5
Submit the completed form according to instructions.
Who needs the Walmart 1095-C Health Insurance Coverage Form?
1
Employees enrolled in Walmart health plans need this form to report health insurance coverage.
2
Dependents listed on the employee's health plan must reference the form for their coverage status.
3
Tax preparers may require this form to accurately file taxes for individuals with Walmart health insurance.
4
Individuals who changed health plans during the year need this to verify coverage.
5
Anyone needing proof of health insurance for financial or legal reasons should obtain this document.
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What are the instructions for submitting this form?
To submit the Walmart 1095-C form, ensure all fields are completed accurately. You can either submit it online at WalmartOne.com or send a physical copy to the designated address provided in the tax instructions. For additional assistance, contact People Services at 800-421-1362.
What are the important dates for this form in 2024 and 2025?
For the 2024 tax filing, the deadline for receiving the 1095-C form remains January 31. Ensure to file your taxes by April 15, 2024. In 2025, similar timelines will apply for the 2024 tax year.

What is the purpose of this form?
The purpose of the Walmart 1095-C form is to provide proof of health insurance coverage as mandated by the Affordable Care Act. This form assists employees in reporting their insurance status when filing their taxes, crucial for compliance with IRS regulations. Having accurate information in this form avoids potential penalties for lacking coverage.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: The full name of the employee enrolled in Walmart health insurance.
- 2. Social Security Number: The unique SSN identifying the employee for tax purposes.
- 3. Coverage Dates: Details on the dates during which the employee was covered.
- 4. Employer Name: Walmart's name as the employer providing the insurance.
- 5. Contact Information: Provides contact details for follow-up questions or clarifications.
What happens if I fail to submit this form?
Failure to submit the Walmart 1095-C form can lead to complications when filing your taxes. You may face penalties for not reporting your health insurance coverage accurately. It's crucial to ensure submission to maintain compliance with IRS requirements.
- IRS Penalties: Not submitting the form may result in IRS penalties for lacking proof of coverage.
- Tax Filing Issues: Without the form, your tax filing could be delayed or rejected.
- Lack of Coverage Verification: Failure to report may lead to complications in verifying health coverage.
How do I know when to use this form?

- 1. Filing Taxes: Essential for accurately reporting health coverage on your tax return.
- 2. Proof of Coverage: Serves as documentation for individuals needing to prove insurance status.
- 3. Consulting Professionals: Important for tax professionals when assisting clients with filings.
Frequently Asked Questions
What is the 1095-C form?
The 1095-C form provides proof of health insurance for your 2018 tax filing. It indicates your enrollment in a health plan through Walmart.
Why do I need this form?
You need the 1095-C to accurately report your health insurance coverage when filing your taxes, helping avoid penalties.
How can I obtain a copy of my 1095-C?
You can obtain a copy of your 1095-C form electronically by visiting WalmartOne.com/1095 and providing the necessary personal information.
What should I do if there's an error on my form?
If you find an error on your 1095-C form, please contact People Services at 800-421-1362 for corrections.
When will I receive my 1095-C form?
Walmart will mail out the 1095-C forms by January 31, 2019.
Can my dependents use this form?
Yes, your dependents listed on the health plan can use this form to demonstrate their health insurance coverage.
What if I was enrolled in multiple plans?
If you were enrolled in multiple health plans during 2018, you may receive multiple 1095 forms.
Do I need to submit this form with my taxes?
You do not attach the 1095-C form to your tax return, but keep it for your records and reference.
What if I didn’t receive my 1095-C?
If you didn’t receive your form and believe you should have one, contact People Services for assistance.
How do I use this form when filing taxes?
When filing your taxes, refer to your 1095-C form to report your health coverage accurately.
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