Form 1095-B Department of the Treasury Internal Revenue Service Part I VOID Health Coverage OMB No. XXXX-XXXX CORRECTED Information about Form 1095-B and its separate instructions is at www.irs.gov/form1095b.

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How to fill out the Form 1095-B - American Benefits Council online

Filling out Form 1095-B is an important step for reporting health coverage. This guide is designed to assist users in completing the form correctly and efficiently online, ensuring a smooth filing process.

Follow the steps to fill out Form 1095-B accurately.

  1. Click the 'Get Form' button to obtain the form and open it in the editor.
  2. In Part I, enter the name of the responsible individual along with their social security number (SSN). Ensure that this information is accurate as it identifies the policy holder.
  3. Provide the employer's name and their employer identification number (EIN). Include the complete street address, city, state, and ZIP code of the employer.
  4. If applicable, indicate the Small Business Health Options Program (SHOP) Marketplace identifier.
  5. In Part II, fill out the issuer or other coverage provider section with the required details, including the name, address, and EIN.
  6. Move to Part III to list the covered individuals. Fill in each individual’s name, SSN, date of birth (if the SSN is unavailable), and indicate if they were covered for all 12 months. Mark the months they were covered accordingly.
  7. Review all entries for accuracy. Make any necessary adjustments before finalizing your form.
  8. At the conclusion of your edits, you can save changes, download, print, or share the completed form as needed.

Ensure your documents are accurate and up-to-date; complete your Form 1095-B online today.

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Do I need a 1095-B to file my taxes?

Some taxpayers may not receive a Form 1095-B or Form 1095-C by the time they are ready to file their tax return. While the information on these forms may assist in preparing a return, they are not required. Individual taxpayers should not wait for these forms and file their returns as they normally would.

Form 1095-B is issued by health insurance companies (for plans that aren't on-exchange individual/family coverage) and other entities such as state Medicaid agencies.

Form 1095-B, Health Coverage, is provided by insurance companies and other coverage providers. However, if your coverage was insurance purchased through the Marketplace or was a type of coverage referred to as “self-insured coverage” that was provided by an applicable large employer, you will receive a different form.

If you do not receive a Form 1095-B and you would like a Form 1095-B for your records, you should contact your eligibility worker at your county human services agency to determine why and request a reprint.

You can find it on Form 1040 (PDF, 147 KB). If you got Form 1095-B or 1095-C, don't include it with your tax return. Save it with your other tax documents.

If you do not receive a Form 1095-B and you would like a Form 1095-B for your records, you should contact your eligibility worker at your county human services agency to determine why and request a reprint.

Call 1-800-MEDICARE (1-800-633-4227) to ask for a copy of your IRS Form 1095-B. TTY users can call 1-877-486-2048.

If you are filing taxes for an individual mandate state and do not have a copy of your 1095B, you may download one immediately from your member website or request one by calling the number on your ID card or other member materials.

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