IRS

What the coverage shown on Form 1095-B means

Form 1095-B confirms that minimum essential health coverage was in place for specific individuals and months during the year. The coverage information reflects how the reporting entity recorded qualifying health coverage within the system.

What minimum essential coverage refers to

Minimum essential coverage includes health coverage provided by insurers, government programs, and certain employer-sponsored plans that meet federal requirements. The designation indicates that the coverage satisfies the system’s definition of qualifying health insurance.

Which Form 1095 you received and why

Form 1095-B is one of several information returns used to report health coverage, and the specific form issued depends on where coverage originated. The form you receive reflects the reporting system responsible for documenting that coverage.

Why different Form 1095 versions exist

The reporting framework separates Marketplace coverage, employer coverage, and other types of minimum essential coverage into different forms. This allows each coverage source to report information according to its own rules and obligations.

Do you need to do anything with Form 1095-B

Form 1095-B does not require you to fill it out, submit it, or attach it to a tax return. The form serves as confirmation that minimum essential health coverage was recorded for the year and, in most situations, no action is required from the recipient.

When no action is required

Simply receiving Form 1095-B does not create a task or deadline. The form documents coverage that already existed and is kept for records. In many cases, it is never actively used during tax filing.

Form 1095-B: why you received it and what it confirms

Form 1095-B appears when minimum essential health coverage was provided outside the Health Insurance Marketplace. It confirms that coverage existed during the year and explains how the system records that fact without requiring any action or filing by the recipient.

What Form 1095-B represents in the system

Form 1095-B is an information statement created by an insurance provider, a government program, or a plan sponsor. It documents that one or more individuals had minimum essential coverage for specific months and serves as a system record of that coverage.

What it means if you did not receive Form 1095-A

Not receiving Form 1095-A means that Health Insurance Marketplace coverage may not have been recorded for the year or that the form is not applicable to your situation. This outcome is normal in many cases and does not by itself indicate an error or a tax problem.

When Form 1095-A is not issued

The Marketplace issues Form 1095-A only when coverage existed through a Marketplace plan. If coverage was obtained entirely outside the Marketplace or if no Marketplace coverage occurred during the year, the form is not generated.

How Form 1095-A connects to Form 8962

Form 1095-A and Form 8962 are linked because the tax system must reconcile Health Insurance Marketplace coverage with the premium tax credit. Form 1095-A supplies the coverage and payment data, while Form 8962 is used to perform the reconciliation during tax filing.

The role of Form 1095-A in this connection

Form 1095-A records monthly enrollment information, benchmark plan amounts, and any advance payments of the premium tax credit. These figures represent how the Marketplace applied the credit during the coverage year.

How Form 1095-A is used for taxes

Form 1095-A is used during tax filing to evaluate Health Insurance Marketplace coverage and to reconcile or claim the premium tax credit. The form itself is not filed with the tax return, but its information becomes part of the tax calculation process.

How the information enters the tax process

The Health Insurance Marketplace reports the same coverage data shown on Form 1095-A directly to the Internal Revenue Service. During tax filing, this data is matched against the tax return to determine whether advance premium tax credits were correctly applied.