IRS Form 1095-B
In accordance with IRS Notice 2019-63, Form 1095-B Forms will NOT be automatically provided to all employees. Responsible individuals may receive a copy of their 2019 Form 1095-B upon request, accompanied by an email address and a physical address to which a request may be sent, as well as a telephone number that responsible individuals can use to contact the reporting entity with any questions. The reporting entity furnishes a 2019 Form 1095-B to any responsible individual upon request within 30 days of the date the request is received.
Requests shall be sent to: