Form preview

Get the free Form 1095-B and Health Coverage Information

Get Form
January 23, 2017, Applies to: All Markets, excluding Medicare Form 1095B and Health Coverage Information On January 20, 2017, Horizon Blue Cross Blue Shield of New Jersey started mailing Form 1095B
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign form 1095-b and health

Edit
Edit your form 1095-b and health form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your form 1095-b and health form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit form 1095-b and health online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the services of a skilled PDF editor, follow these steps:
1
Check your account. It's time to start your free trial.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit form 1095-b and health. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out form 1095-b and health

Illustration

How to fill out form 1095-b and health

01
Gather all the necessary information and documents such as your name, address, social security number, and health insurance information.
02
Read the instructions provided with form 1095-B carefully to understand the requirements and details needed for filling out the form.
03
Fill in your personal information accurately in the designated sections of the form.
04
Enter the details of your health insurance coverage, including the name of the insurance company and the months you were covered.
05
If you had multiple health insurance coverage throughout the year, make sure to provide the information for each coverage separately.
06
Indicate any exemptions or special circumstances if applicable.
07
Double-check all the information entered and ensure its accuracy.
08
Sign and date the form.
09
Submit the completed form to the appropriate recipient, either to the IRS or to the individual you received the form from.

Who needs form 1095-b and health?

01
Individuals who were covered by minimum essential health coverage at any point during the year need form 1095-B.
02
People who purchased health insurance through the marketplace and received premium tax credits also require form 1095-B.
03
Employers who provide self-insured health coverage to their employees should issue form 1095-B to the covered individuals.
04
Anyone who is claimed as a dependent on someone else's tax return might also need form 1095-B to prove their coverage.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
48 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Once your form 1095-b and health is complete, you can securely share it with recipients and gather eSignatures with pdfFiller in just a few clicks. You may transmit a PDF by email, text message, fax, USPS mail, or online notarization directly from your account. Make an account right now and give it a go.
No, you can't. With the pdfFiller app for iOS, you can edit, share, and sign form 1095-b and health right away. At the Apple Store, you can buy and install it in a matter of seconds. The app is free, but you will need to set up an account if you want to buy a subscription or start a free trial.
Use the pdfFiller Android app to finish your form 1095-b and health and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.
Form 1095-B is a tax form used to report information about individuals who are covered by minimum essential health insurance.
Health insurance providers or employers who provide health insurance coverage must file Form 1095-B.
To fill out Form 1095-B, you need to provide information about the individuals covered by the health insurance, the coverage dates, and other relevant details.
The purpose of Form 1095-B is to provide information to the IRS about individuals who have minimum essential health insurance coverage.
Information such as the names of individuals covered by the health insurance, their Social Security Numbers, and the months they were covered must be reported on Form 1095-B.
Fill out your form 1095-b and health online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.