1095 b-2025

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  1. Click 'Get Form' to open it in the editor.
  2. In Part I, enter your Social Security Number (SSN) or other Tax Identification Number (TIN) in line 2. If you do not have an SSN, provide your date of birth in line 3.
  3. For line 8, select the letter that corresponds to the type of health coverage you had from the provided options.
  4. In Part II, if applicable, fill out lines 10-15 with your employer's information. This section may be left blank if not relevant.
  5. Part III requires details about your coverage provider. Complete lines 16-22 with their information, including a contact number on line 18 for any inquiries.
  6. In Part IV, list each covered individual’s name and SSN or TIN. Indicate their coverage status for each month in columns (d) and (e).
  7. Once completed, you can print, download, and share the form directly from our platform.

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2023 4.1 Satisfied (35 Votes)
2022 4.2 Satisfied (33 Votes)
2021 4.8 Satisfied (189 Votes)
2020 4.4 Satisfied (276 Votes)
2019 4.3 Satisfied (35 Votes)
2018 4 Satisfied (53 Votes)
2017 4.4 Satisfied (157 Votes)
2016 4.2 Satisfied (52 Votes)
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2014 4.2 Satisfied (71 Votes)
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Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage. Eligibility for certain types of minimum essential coverage can affect a taxpayers eligibility for the premium tax credit.
If you purchased coverage through the federally facilitated Marketplace and you set-up a HealthCare.gov account, you can get a copy of Form 1095-A, Health Insurance Marketplace Statement online from your account.
No. You do not need to include Form 1095-B with your federal or state tax return. But, the IRS and the California State Franchise Tax Board suggest that you save it with your tax records. Again, do this in the event you are required to provide the form as proof of your health care coverage.
Form 1095-B Individuals who enroll in health insurance through Medi-Cal, Medicare, and other insurance companies or coverage providers will receive this form. Form 1095-C Individuals who enroll in health insurance through their employers will receive this form.
If your return is being rejected by the IRS, this means the IRS believes you or someone on your return had insurance through the marketplace. If anyone on your return did have insurance through the marketplace, then you will need to add the 1095-A.
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People also ask

Form 1095-B: Responsible individuals may retrieve a copy of Form 1095-B, Health Coverage on their myPay account, or may request a copy of Form 1095-B by submitting a request to askDFAS or mailing to the address below. Please allow up to 30 days for processing. * Use the secure online form at askDFAS.
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 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.

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