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Health Coverage Form 1095B OMB No. 15452252 VOID CORRECTED Department of the Treasury Internal Revenue Service 2015 2015000001000000001 Information about Form 1095B and its separate instructions is
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Form 1095-B is a tax form that provides information about your health coverage. It is used to report certain health insurance information to the IRS.
Health insurance providers and certain employers are required to file Form 1095-B.
Form 1095-B should be filled out by your health insurance provider or your employer. They will provide the necessary information about your health coverage.
The purpose of Form 1095-B is to report health insurance coverage information to the IRS.
Form 1095-B must include information about the individuals covered by the health insurance policy, the policy number, and the months of coverage.
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