Step-by-Step Instructions on How to Consent to Get your Form 1095-C Online

Part 1: Navigate to My UT Benefits

You my go directly to My UT Benefits, or navigate there via Galaxy.

Step 1

Navigate to Galaxy

Step 2

Login to Gemini via SSO

Step 3

Navigate to the ACA Form 1095-C tile via Gemini for Departments/Self Service. The tile links to My UT Benefits.

Part 2: Enroll

Step 1

Log in to My UT Benefits. Enter your NetID and password. Login is SSO

Step 2

Click “Enroll Now”

Step 3

Click Quick Links then select ‘Your Current 1095C form’

Step 4

Enter details on the Contact Electronic Consent Statement Options screen

Enter and verify primary email address, alternate email address, and cell phone number

Step 5

Under ‘Electronic Statement of Notification Options,’ select preferred options

Lockout notifications do not apply to active UT Dallas employees as we use SSO and not direct login credentials.

Step 6

Hit ‘ Save Notification Option Settings’

Step 7

Email Confirmation

You are done! Close the window and browser.  To log back in, open a new browser and go back to step #1.

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You are now set-up to retrieve your Form 1095-C online. The UT Dallas Office of Human Resources – Benefits Department will notify employees when forms are ready for retrieval on or around January 31. Your consent will be valid each year unless you make a change on your delivery selection.