Edit, Download, and Sign the IRS Form 1095-B Health Coverage Instructions
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How do I fill this out?
To fill out the 1095-B form, begin by gathering your personal information. Next, input details about your health coverage during the tax year. Review your entries for accuracy before submitting or retaining for your records.

How to fill out the IRS Form 1095-B Health Coverage Instructions?
1
Gather necessary personal and health coverage information.
2
Fill in the form with accurate details.
3
Double-check for any inaccuracies in your entries.
4
Save or submit the form as needed.
5
Retain a copy for your records.
Who needs the IRS Form 1095-B Health Coverage Instructions?
1
Former employees under age 65 who purchased health insurance.
2
Individuals seeking a record of their health coverage for tax purposes.
3
Dependents of former employees who require health coverage proof.
4
Tax preparers needing a document to verify health insurance.
5
Anyone utilizing a Health Care Savings Plan (HCSP).
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What are the instructions for submitting this form?
To submit your 1095-B form, contact SEGIP directly via phone at 651-355-0100 or send an email to segip.mmb@state.mn.us. You can also use the online request form available on the SEGIP webpage at mn.gov/mmb/segip. Ensure to include your name, employee ID number, contact details, and mailing address for proper submission.
What are the important dates for this form in 2024 and 2025?
In 2024, ensure all submissions are made by the tax filing deadline of April 15. In 2025, be aware of the same deadline to avoid fines. Keep updated on any changes made by the IRS regarding filing procedures.

What is the purpose of this form?
The purpose of the 1095-B form is to report health insurance coverage to the IRS. This form is crucial for verifying that individuals have met minimum essential coverage under the Affordable Care Act. Additionally, it assists taxpayers in providing accurate health coverage documentation during tax filing.

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

- 1. Employee's Name: The full name of the former employee.
- 2. SSN: Social Security Number of the individual covered.
- 3. Coverage Dates: The period during which the health coverage was active.
- 4. Provider Information: Details about the health insurance provider.
- 5. Dependent Information: Information regarding any dependents covered under the plan.
What happens if I fail to submit this form?
Failure to submit the 1095-B form may result in complications during tax filing. The IRS requires proof of health coverage, and missing the form could lead to discrepancies.
- IRS Penalties: Individuals may face penalties for not reporting health coverage.
- Tax Filing Issues: Tax returns may be delayed or rejected due to missing documentation.
- Inaccurate Tax Information: Without the form, individuals risk providing inaccurate health coverage status.
How do I know when to use this form?

- 1. Tax Filing: Necessary for accurate reporting during tax filing.
- 2. Proving Coverage: Serves as proof of health coverage when requested by authorities.
- 3. Requesting Health Documentation: Can be used to validate health coverage for various applications.
Frequently Asked Questions
What is a 1095-B?
The 1095-B form reports health coverage information provided to former employees.
Who receives a copy of my 1095-B?
A copy of the 1095-B will be sent to the IRS as required by law.
Do I need my 1095-B for tax filing?
No, it's not required for filing taxes but may be requested by a tax preparer.
How can I request a 1095-B?
You can request a 1095-B by contacting SEGIP via phone, email, or an online form.
What if I don't receive my 1095-B?
If you believe you should have received one, contact SEGIP for assistance.
Is my 1095-B secure?
The form will include truncated SSNs to protect your information.
Can dependents receive their own 1095-B?
No, only the contract holder can request the 1095-B.
What types of 1095 forms exist?
There are forms 1095-A, 1095-B, and 1095-C, each serving different purposes.
Is the HCSP minimum essential coverage?
Yes, the HCSP meets the requirements for minimum essential coverage.
Where can I find more information about 1095-B?
Visit the IRS website for detailed information and instructions regarding the form.
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