Edit, Download, and Sign the IRS Form 1095-B Health Coverage Information
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How do I fill this out?
Filling out the 1095-B form involves gathering necessary information concerning your health coverage. You need to understand the details of your insurance plan and any dependents covered. Ensure that you have all documentation ready for accurate completion.

How to fill out the IRS Form 1095-B Health Coverage Information?
1
Collect all relevant documents, including health insurance information.
2
Fill in your personal details as well as your dependents' information.
3
Review the completed form for accuracy.
4
Keep the form with your tax records.
5
Submit a request if you require additional copies.
Who needs the IRS Form 1095-B Health Coverage Information?
1
Former employees needing proof of health coverage for tax purposes.
2
Those who had obtained health care insurance through SEGIP.
3
Individuals under 65 for verification of health coverage.
4
Employees wanting to ensure their tax documents are accurate.
5
Tax preparers who may request this document on behalf of clients.
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What are the instructions for submitting this form?
To submit the 1095-B form, contact SEGIP via phone at 651-355-0100 or email at segip.mmb@state.mn.us. You can also visit their official webpage for online request forms or submit via mail to the address listed on the form. Ensure that all provided information is accurate for prompt processing.
What are the important dates for this form in 2024 and 2025?
The important dates for Form 1095-B submissions in 2024 include January 31 for mailing to recipients and February 28 for paper submission to the IRS. In 2025, the same deadlines are likely to apply. Always verify with the IRS for the most updated information.

What is the purpose of this form?
The purpose of Form 1095-B is to provide evidence of health coverage to individuals as mandated by the Affordable Care Act. This form is essential for tax reporting, helping individuals attest that they met health coverage requirements. It aids tax preparers and recipients in understanding their insurance status for the preceding year.

Tell me about this form and its components and fields line-by-line.

- 1. Recipient Information: Includes the name and address of the individual covered.
- 2. Covered Individuals: Details all individuals covered under the health plan.
- 3. Coverage Information: Information about the insurance provider and period of coverage.
- 4. Employer Information: Details of the employer providing coverage to the employee.
- 5. Plan Type: Identifies the type of health insurance plan.
What happens if I fail to submit this form?
Failure to submit Form 1095-B may result in complications with tax reporting and potential penalties. It is essential to keep a record of your coverage to avoid issues with compliance under the Affordable Care Act.
- Penalties: Individuals may face penalties for not having minimum essential coverage.
- Tax Filing Issues: Missing form may lead to tax filing discrepancies.
- Lack of Coverage Proof: Not having the form may hinder applications for healthcare.
How do I know when to use this form?

- 1. Tax Filing: Essential for individuals to report health coverage to the IRS.
- 2. Health Care Verification: Used to confirm eligibility for health care programs.
- 3. Insurance Programs: For individuals obtaining health insurance through state programs.
Frequently Asked Questions
Who should fill out Form 1095-B?
Former employees and certain individuals who had health coverage during the previous year.
What do I do if I didn't receive my form?
You can contact SEGIP to request a copy of your 1095-B.
Is it necessary to attach this form to my tax return?
No, it is not required to file your taxes, but you should keep it for your records.
Where can I find instructions for completing the form?
Instructions are available on the IRS website and on our editing platform.
Can my dependents request their own 1095-B?
No, only the primary account holder can request a copy of the form.
Will my SSN be on the form?
Yes, SSNs will be included, but certain numbers will be truncated.
When should I request a copy of my 1095-B?
You should request your form as soon as tax season approaches.
What is the main function of the 1095-B form?
To confirm health insurance coverage under the Affordable Care Act.
How can I edit my 1095-B?
Utilize the editing features on PrintFriendly to adjust your form.
Can I print the 1095-B after editing?
After making the necessary edits, you can easily print the document.
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