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1095-B Health Coverage Name City or town City or town. . . (a) Name of covered individual(s) (b) SSN (c) DOB (If SSN is not (d) Covered available) all 12 months 2015 OMB No. 1545-2252 21 17 14 Feb
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How to fill out form 1095b 2015

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How to fill out form 1095b 2015:

01
Obtain the form: The form 1095b for the year 2015 can be obtained from the Internal Revenue Service (IRS) website or by contacting your employer or health insurance provider.
02
Gather necessary information: Before starting to fill out the form, gather all the required information such as your Social Security number, the Social Security numbers of all individuals covered by the policy, and information about the health insurance coverage.
03
Fill out the personal information: Start by filling out the personal information section, including your name, address, and Social Security number. Ensure that all the information entered is accurate and matches the information provided on your tax return.
04
Report coverage details: In the next section, you will need to provide information about the health insurance coverage you and your family had throughout the year. This includes indicating the months during which you were covered and the type of coverage (e.g., employer-sponsored, government program, individual coverage).
05
Include additional information if necessary: If there are any special circumstances related to your coverage, such as coverage through multiple providers or changes in coverage during the year, provide the necessary details in the designated section.
06
Sign and date the form: Once you have completed all the required sections, make sure to sign and date the form. If you are filing jointly, both you and your spouse should sign the form.
07
Keep a copy for your records: Before submitting the form, make a copy for your own records. This will serve as proof of the information you provided in case any discrepancies arise in the future.

Who needs form 1095b 2015:

01
Individuals with health insurance coverage: Form 1095b is primarily used to report information about health insurance coverage. Therefore, individuals who had qualifying health coverage during the year 2015 will need to have this form.
02
Employers and health insurance providers: Employers and health insurance providers are also required to provide Form 1095b to individuals they provided coverage to. These entities use the form to report information about the coverage provided to the IRS and the individuals.
03
Individuals filing their tax returns: Form 1095b is used when filing tax returns, specifically to verify that individuals had the required health insurance coverage throughout the year. Therefore, anyone filing their tax returns for the year 2015 should have Form 1095b available to accurately report their health insurance coverage.

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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 and therefore are not liable for the individual shared responsibility payment.
Health insurance companies, self-insured employers, government agencies, and other providers of minimum essential health coverage are required to file Form 1095-B.
Form 1095-B is typically prepared by the entity providing the health coverage. It includes information about the covered individuals and the months they were covered.
The purpose of Form 1095-B is to provide individuals with documentation of their health insurance coverage and to assist in the enforcement of the individual shared responsibility provision.
Form 1095-B must include details such as the names, addresses, and Social Security numbers (or dates of birth) of the individuals covered, as well as information on the months of coverage.
The deadline to file Form 1095-B for the tax year 2024 is February 28, 2025, if filing by paper, or March 31, 2025, if filing electronically.
The penalty for the late filing of Form 1095-B is $270 per return, with a maximum penalty of $3,275,500 per calendar year for small businesses.
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