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1095-B tax form

Everyone who received Washington Apple Health (Medicaid) for one or more months of 2016 will receive an IRS tax form 1095-B. The individuals listed on the 1095-B had minimum essential coverage (MEC) last year through Apple Health for the months listed on the form. 

1095-B informational insert (in additional languages)
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Form 1095-B FAQs

Why am I getting this form?

You received this form because you or one of your family members had minimum essential coverage (MEC) through Apple Health sometime during the 2016 tax year.

What do I do with it?

Whether you file your taxes or not, keep this form for your records. This is your copy of the form. It provides information you will need to file your taxes. This information has been sent electronically to the IRS. To find out if you have to file taxes or should file them even if it is not required, please visit irs.gov or consult a tax professional.

I am a CPA or other tax professional. Does the IRS require the 1095-B form to be included with my client’s tax return?

No. The IRS does not require the 1095-B form to be included with a person’s tax return. Any information provided on the 1095-B form is electronically submitted to the IRS. The client should retain the form for their records, which contains information about their health coverage for 2016.

What if I didn’t have coverage for all 12 months?

Exemptions are available based on a number of circumstances, including certain hardships, some life events, health coverage or financial status, and membership in some groups. For more information visit irs.gov or contact a tax professional for information about insurance requirements and penalties.

What should I do if I also get a 1095-A, 1095-B, or 1095-C and I have questions?

It is possible that you may receive multiple forms depending on your coverage for the year.

Washington Healthplanfinder customers who enrolled in a Qualified Health Plan (QHP) will receive a tax form called the 1095-A: Health Insurance Marketplace Statement. More information is available at wahbexchange.org/1095A and irs.gov.

For questions regarding the 1095-B or 1095-C, please contact the agency or health insurer listed on the form.

Will I receive a 1095-B if Washington Apple Health is my secondary coverage?

Yes, you will receive a 1095-B form for you and your household members to indicate any month that you received Apple Health coverage.

Is all Washington Apple Health coverage minimum essential coverage (MEC)?

Not all Apple Health coverage is MEC. If you or someone in your household had coverage that is not MEC, that information will not be included on the 1095-B form. Some examples of Apple Health that are not considered MEC coverage are: Family Planning, Spenddown, Alien Emergency Medical (AEM), and Medicare Savings Program. You may be exempt from the MEC requirement. Please consult a tax professional or visit: irs.gov.

What if a child I claim as a tax dependent received Washington Apple Health with their other parent or guardian?

The other parent or guardian will receive the 1095-B form. This will not prevent you from filing taxes. All the information on the 1095-B is transmitted electronically to the IRS. The 1095-B form can only be provided to the primary applicant on the Apple Health application. 

If we split custody during the year, who will receive the 1095-B form?

Each parent or guardian who applied for and received Apple Health coverage for the child will receive the 1095-B for the child’s coverage months.

What if my address or name is incorrect on my 1095-B form and I am currently receiving Washington Apple Health coverage?

The IRS has already received the required information. No corrections or updates to the form are necessary.

Reminder: You can make changes to your current Apple Health application using one of the following options:

  • For Family, Pregnancy, Children and Adult Apple Health coverage visit wahealthplanfinder.org or call the Washington Healthplanfinder at 1-855-923-4633.
  • For Classic (Aged, Blind or Disabled) Apple Health visit washingtonconnection.org or call 1-877-501-2233.

Do not make changes to your account by returning your 1095-B form to Health Care Authority (HCA). Please keep this form for your records. 

What if the form I received is missing information such as month of coverage or dependents within my household?

Please call the HCA Medical Assistance Customer Service Center (MACSC) at 1-800-562-3022.  

What if I lost my form or need a replacement?

Please call the HCA Medical Assistance Customer Service Center (MACSC) at 1-800-562-3022 or request a reprint online using the Washington Apple Health web form (select "1095-B" from the drop-down menu).

Can I view my 1095-B form online or receive an electronic copy?

No. The 1095-B form will only be sent by mail from HCA. This includes any corrected or replacement copies.

Tax resources and questions

Online: www.irs.gov

Phone: Call 2-1-1 or the CLEAR Hotline at 1-888-201-1014

Contact

Phone: 1-800-562-3022