Get News & Updates Directly To Your Inbox
Delicious recipes, helpful cooking and nutrition tips. Find food preparation videos and "ask the dietitian!"
Find A Doctor Or Hospital In Your Network.
Form 1095-B is a tax form that reports:
Since you won’t need this form for tax filing, it will be sent to you only if you ask.
If you have a plan directly from BCBSIL, use one of these four ways to ask for your BCBSIL 1095-B form.
Once this form is received, your Form 1095-B will be mailed to your address on file within 30 days.
EmailFill out the 1095-B Request Form, then attach it to an email. Send the email to Form1095B@bcbsil.com. Once this form is received, your Form 1095-B will be mailed to your address on file within 30 days.
Form 1095-A: Health Insurance Marketplace Statement
Form 1095-C: Employer-Provided Health Insurance Offer and Coverage
Originally published 2/1/2017; Revised 2018, 2021, 2022
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Con el formulario fiscal 1095-B se reportan:
Los formularios 1095-B ya no se enviarán automáticamente a los asegurados de BCBSIL. Puede obtener uno si lo solicita.
Hay cuatro maneras de solicitar un formulario 1095-B. La manera que elija para solicitarlo es su elección. Una vez que recibamos su solicitud, le enviaremos su formulario 1095-B por correo dentro de los siguientes 30 días a la dirección en los expedientes.
Formulario 1095-A: Declaración del Mercado de seguros médicos
Formulario 1095-C: Disponibilidad y cobertura por medio de un seguro médico como prestación laboral
Español actualizado 11/26/2018, 2021, 2022
Hello, Please send us a private message and we'd be happy to help you with that. ~ Heather
I received the 1095 but their are no amount regarding payments. Can I get a new one?