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1095 Form Questions - Look no further!

Blog Post created by communitymanager Moderator on Dec 9, 2019

You receive Form 1095 annually. Form 1095 provides proof of health coverage for you and any covered dependents for the applicable months/year.

 

Members on an Individual Health plan through the Health Insurance Marketplace (HIM) receive Form 1095-A from CMS.

 

Members on an Individual Health plan that is not part of the Federal Marketplace Exchange receives Form 1095-B from Humana.

 

Members on a Fully Insured Commercial Health Plan receive Form 1095-B from Humana.

 

Members on an ASO/Self-Insured Commercial Health Plan receive Form 1095-C from their Employer.

 

 

You do not have to wait for either Form 1095-B or 1095-C from your coverage provider or employer to file your individual income tax return. You can use other forms of documentation, in lieu of the Form 1095 information returns to prepare your tax return. Other forms of documentation that provide proof of your insurance coverage include:


Insurance cards,
Explanation of Benefits (EOB),
Statements from your insurer,
W-2 or payroll statements reflecting health insurance deductions,
Records of advance payment of the premium tax credit, and
Other statement including that you, or a member of your family, had healthcare coverage.

 

If you and your entire family are covered for the entire year, check the full-year coverage box on your return. If you or your family members did not have coverage for one or more months of the calendar year, you can claim an exemption or make an individual shared responsibility payment.

 

You do not need to send the IRS proof of your health coverage. However, keep any documentation with your other tax records such as records of your family's employer-provided coverage, premiums paid, and type of coverage.

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