1095-B tax form

The 1095-B is a tax form verifying you or your household member received Washington Apple Health (Medicaid) coverage for one or more months of the previous tax year.

Note: This form is informational only and not required to complete your taxes.

1095-B form FAQs for Apple Health clients

Can I request a copy of my 1095-B tax form?

For children, pregnant individuals, single adults and parent/caretakers receiving Apple Health coverage:

  • Starting mid-January, you can access your 1095-B tax from the view 1095-B Tax Form link on the Account Home tab of your account at wahealthplanfinder.org
    • You can create an account anytime by visiting Washington Healthplanfinder at wahealthplanfinder.org. If you need assistance in creating your account, call the Washington Healthplanfinder at 1-855-923-4633

Note: if you have questions about your form or need to order a copy, call the Medical Assistance Customer Service Center at 1-800-562-3022.

For individuals who are aged, blind, disabled or in need of long-term services and supports who is receiving Apple Health coverage:

  • Request your copy online using the Washington Apple Health web form (select "1095-B" from the drop-down menu), or
  • Call the Medical Assistance Customer Service Center at 1-800-562-3022.
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 make this form available to you.

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

Washington Healthplanfinder customers who enrolled in a Qualified Health Plan (QHP) will receive Form 1095-A. More information is available at wahbexchange.org/1095A and irs.gov.

For questions regarding the 1095-B or 1095-C, contact the agency or health insurer who sent you the form.

Can I request a 1095-B if Apple Health is my secondary coverage?

Yes. Follow the instructions above if you would like to request a copy of this information form.

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 can request 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 can request the 1095-B form?

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

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 I lost my form or need a replacement?

After January, if you have an account in Washington Healthplanfinder go to your message center to access your copy. If you don't have an account you can:

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

1095-B form 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.

Contact

For tax resources and questions:

Online: www.irs.gov
Phone: Call 2-1-1 or the CLEAR Hotline at 1-888-201-1014