As of Wednesday, March 18, HCA’s lobby will be closed. In-person customer services for Apple Health and the PEBB and SEBB Programs will not be available. Learn more.
1095-B tax form
Everyone who receives minimum essential Washington Apple Health (Medicaid) coverage for one or more months of the last tax year will receive an IRS tax form 1095-B.
Note: Do not return the 1095-B form to HCA. Keep the form for your records.
1095-B informational insert (in additional languages)
አማርኛ - Amharic | العربية - Arabic | မြန်မာ - Burmese | អក្សរខ្មែរ - Cambodian (Khmer) | 中文 - Chinese | الفارسية - Farsi (Persian) | 한국어 - Korean | ພາສາລາວ - Laotian | ਪੰਜਾਬੀ ਦੇ - Punjabi | Русский - Russian | Af-soomaali - Somali | Español - Spanish | Yкраїнський - Ukrainian | Tiếng Việt - Vietnamese.
Form 1095-B FAQs for Apple Health clients
Why am I getting this form?
You received this form because you or one of your family members had minimum essential coverage through Apple Health for one or more months during the last tax year.
What do I do with it?
Whether you file your taxes or not, keep this form for your records. It provides information you will need to file your taxes. This information is sent electronically to the IRS. To find out if you have to file taxes or should file them even if it is not required, visit irs.gov or consult a tax professional.
Will I have a penalty if I did not have coverage for all 12 months?
Starting with the 2019 plan year, individuals who do not carry health insurance will no longer be penalized for lack of health insurance. However, the Health Care Authority is still required to provide you a copy of your 1095-B. Please keep this form for your records.
What should I do if I also get a 1095-A, 1095-B, or 1095-C and I have questions?
You may receive multiple forms depending on your coverage for the year.
For questions regarding the 1095-B or 1095-C, contact the agency or health insurer who sent you the form.
Will I receive a 1095-B if 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 Apple Health coverage minimum essential coverage?
No. Not all Apple Health coverage is minimum essential coverage, including Family Planning, Spenddown, Alien Emergency Medical (AEM), and the Medicare Savings Program. If you or someone in your household had Apple Health coverage that is not minimum essential coverage, it will not be included on the 1095-B form. You may be exempt from the minimum essential coverage requirement. For more information, consult a tax professional or visit: irs.gov.
What if a child I claim as a tax dependent received 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 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 coverage 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?
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 is only sent by mail from HCA. This includes any corrected or replacement copies.
Form 1095-B FAQs for tax professionals
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 an individual’s tax return. Information provided on the 1095-B form is electronically submitted to the IRS. The client should retain the form for their records.
Tax resources and questions
Phone: Call 2-1-1 or the CLEAR Hotline at 1-888-201-1014