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Form 1095B Department of the Treasury Internal Revenue Service Part I 1 560115 VOID Health Coverage OMB No. 15452252 2015 CORRECTED Information about Form 1095B and its separate instructions is at
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How to fill out 2015 form 1095-b

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How to fill out 2015 form 1095-b:

01
Gather necessary information: Before filling out the form, make sure you have the required information handy. This includes personal details such as name, address, and social security number, as well as the information about your healthcare coverage for each month of the year.
02
Start with personal information: In the first section of the form, provide your personal information, including your name, address, and social security number. Make sure to accurately enter this information to avoid any errors or delays.
03
Fill in your coverage information: Move on to the next section of the form, where you will need to report your coverage information. For each month of the year, indicate whether you and your dependents had minimum essential coverage.
04
Report coverage exemptions: If you or any of your dependents were exempt from having coverage for any month, you must also report those exemptions on the form. Be sure to provide all the necessary details and exemptions codes if applicable.
05
Complete part III (Employer Provided Self-Insured Coverage): If you or any of your dependents received health insurance coverage from an employer that is self-insured, you will need to complete Part III of the form. Provide the employer's information, coverage dates, and the number of individuals covered under that plan.
06
Review and double-check: Once you have completed all the required sections, take the time to review your form and ensure all the information is accurate and complete. Double-check that you haven't missed any months or made any mistakes.

Who needs 2015 form 1095-b:

01
Individuals covered by certain health insurance plans: The 2015 form 1095-b is typically needed by individuals who were covered by certain health insurance plans throughout the year. It provides information about the coverage that individuals and their dependents received.
02
Employees with employer-provided self-insured coverage: If you were an employee and received health insurance coverage from an employer that is self-insured, you may also need the 2015 form 1095-b. This form helps to document the coverage provided by the employer.
03
Individuals who received coverage through government programs: Individuals who received health insurance coverage through government programs such as Medicaid or the Children's Health Insurance Program (CHIP) may also need the 2015 form 1095-b to report their coverage.
It is important to note that the need for the 2015 form 1095-b may vary based on individual circumstances and can depend on the specific requirements of the Internal Revenue Service (IRS). If you are unsure whether you need this form, it is recommended to consult with a tax professional or refer to the IRS guidelines for more information.
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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.
Health insurance providers or employers who provide minimum essential coverage to individuals must file Form 1095-B.
Form 1095-B should be filled out with information about the individuals covered by the health insurance and the coverage provided.
The purpose of Form 1095-B is to provide information about the health coverage individuals had during the year.
Form 1095-B must include information about the covered individuals, the coverage dates, and the type of coverage provided.
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