If you or another family member received employer-sponsored coverage that coverage may be reported on a Form 1095-C Part III rather than a Form 1095-B. 560116 Form 1095-B Department of the Treasury Internal Revenue Service Part I VOID Health Coverage Do not attach to your tax return. Keep for your records. Cat. No. 60704B Form 1095-B 2017 Page 2 Instructions for Recipient This Form 1095-B provides information needed to report on your income tax return that you your spouse if you file a joint...return and individuals you claim as dependents had qualifying health coverage referred to as minimum essential coverage for some or all months during the year. Other designated minimum essential coverage If you or another family member received health insurance coverage through a Health Insurance Marketplace also known as an Exchange that coverage will generally be reported on a Form 1095-A rather than a Form 1095-B. If you don t provide your SSN or other TIN and the SSNs or other TINs of all...covered individuals to the sponsor of the coverage the IRS may not be able to match the Form 1095-B with the individuals to CAUTION determine that they have complied with the individual shared responsibility provision. Line 8. Minimum essential coverage includes government-sponsored programs eligible employer-sponsored plans individual market plans and other coverage the Department of Health and Human Services designates as have minimum essential coverage and what is minimum essential coverage...see www.irs.gov/Affordable-Care-Act/Individuals-and-Families/IndividualShared-Responsibility-Provision. Providers of minimum essential coverage are required to furnish only one Form 1095-B for all individuals whose coverage is reported on that form. As the recipient of this Form 1095-B you should provide a copy to other individuals covered under the policy if they request it for their records. Go to www.irs.gov/Form1095B for instructions and the latest information. CORRECTED OMB No. 1545-2252...Responsible Individual 2 Social security number SSN or other TIN City or town 8 Enter letter identifying Origin of the Health Coverage see instructions for codes. Reserved Information About Certain Employer-Sponsored Coverage see instructions Employer identification number EIN State or province Country and ZIP or foreign postal code Contact telephone number Issuer or Other Coverage Provider see instructions Name 19 Street address including room or suite no. Employer name 3 Date of birth if SSN...or other TIN is not available Name of responsible individual Covered Individuals Enter the information for each covered individual* a Name of covered individual s b SSN or other TIN c DOB if SSN or other d Covered TIN is not available all 12 months e Months of coverage Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec For Privacy Act and Paperwork Reduction Act Notice see separate instructions. Individuals who don t have minimum essential coverage and don t qualify for an exemption from this...requirement may be liable for the individual shared responsibility payment.
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Instructions and Help about IRS 1095-B
How to edit IRS 1095-B
To edit IRS 1095-B, you must have access to the original document. You can use pdfFiller's editing tools, which allow you to modify any inaccurate or outdated information on the form. Make sure to save the changes after editing to ensure all modifications are captured before submission.
How to fill out IRS 1095-B
Filling out IRS 1095-B involves several critical steps to ensure accurate reporting of health coverage. First, collect necessary information about the covered individual, including names, addresses, and Social Security numbers. Next, complete sections detailing the coverage provider's information and the months of coverage provided. Ensure that all data is accurate to avoid penalties.
About IRS 1095-B 2017 previous version
What is IRS 1095-B?
IRS 1095-B is a tax form used to report information about individuals who are covered by minimum essential health coverage. This form is essential for fulfilling the reporting requirements under the Affordable Care Act (ACA). It is typically provided by health insurance providers to individual policyholders and is crucial for determining compliance with healthcare mandates.
Who needs the form?
Individuals who received health coverage from Medicaid, the Children's Health Insurance Program (CHIP), or any other provider of minimum essential coverage will receive IRS 1095-B. Health insurance issuers and self-insured employers must also file this form for each covered individual. It's important to keep this document for tax filing purposes.
Components of the form
IRS 1095-B consists of several key components that include identification of the covered individual, information about the provider of the coverage, and the specific months during which the coverage was active. The form also includes details about the type of coverage and a statement of compliance with ACA requirements. Each section must be filled out clearly to ensure correct reporting.
What information do you need when you file the form?
When filing IRS 1095-B, you must provide specific information, including the name and Social Security number of each covered individual, the months of coverage for each person, and the details of the coverage provider. Accurate data entry is critical to ensure compliance with ACA regulations and to prevent potential issues during tax filing.
Where do I send the form?
IRS 1095-B forms should be sent to the IRS at the address specified in the instructions for the form. If you are filing electronically, you will submit it through the IRS e-file system. Ensure that individuals receive their copies promptly, as they will need this information when filing their personal tax returns.
What is the purpose of this form?
The purpose of IRS 1095-B is to verify that an individual had health coverage that meets minimum essential criteria as mandated by the ACA. It serves as proof of health insurance coverage during the tax year, helping to confirm compliance with the individual mandate. The form is used by the IRS to ensure that individuals are either covered by insurance or eligible for an exemption.
When am I exempt from filling out this form?
You may be exempt from filling out IRS 1095-B if you did not have minimum essential coverage at any point during the tax year. Certain exemptions, such as a short-term gap in coverage of less than three consecutive months or other qualified exceptions, may apply. If you are unsure about your exemption status, consult the IRS guidelines or a tax professional.
Due date
The IRS 1095-B is typically due to the recipients by January 31 of the year following the coverage year. Providers must also file the forms with the IRS by February 28 (or March 31 if filed electronically). Adhering to these deadlines is crucial to avoid potential penalties for late submission.
What are the penalties for not issuing the form?
Failing to issue IRS 1095-B to covered individuals or failing to file with the IRS may result in penalties. Providers who do not comply may face fines, which can vary based on the number of forms not filed. It's essential to understand the implications of non-compliance and to file the necessary forms timely to avoid penalties.
Is the form accompanied by other forms?
The IRS 1095-B is generally issued without the need for accompanying forms for individual taxpayers. However, it may be used along with IRS Form 1040 when filing personal income tax returns to demonstrate compliance with health coverage requirements. For businesses, other forms related to employee benefits might be necessary depending on the specific circumstances.
FAQ about IRS 1095-B
What should I do if I realize I've made a mistake on my IRS 1095-B after submission?
If you've discovered an error on your submitted IRS 1095-B, you need to submit a corrected form. The correction process may involve filling out a new form and marking it as 'corrected' to ensure the IRS recognizes the changes. It's essential to keep a copy of both the original and corrected forms for your records.
How can I verify the status of my submitted IRS 1095-B?
To track the status of your IRS 1095-B, you may contact the IRS directly or use their online tools if applicable. Typically, verifying receipt involves having details like your submission date and personal information on hand. If your form was e-filed, be aware of common rejection codes that might indicate issues with your submission.
Are there specific privacy and security measures I should consider when filing the IRS 1095-B?
When filing the IRS 1095-B, it's crucial to ensure that you're using secure methods, especially when transmitting sensitive information. Implementing e-signatures where acceptable can enhance data security. Additionally, maintain compliance with data retention policies to safeguard private information as required.
What steps should I take if I receive a notice regarding my IRS 1095-B?
If you receive a notice related to your IRS 1095-B, review it carefully to understand the issue raised. Prepare the necessary documentation and respond promptly to the IRS with any requested information. It is also beneficial to consult with a tax professional for guidance on how to address and resolve the matter effectively.
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