IRS 1095-B Tax Form Frequently Asked Questions (FAQs)

The IRS 1095-B tax form is a federal tax form that provides information about an individual’s Wisconsin health care coverage for a specific tax year. If you have questions about the 1095-B tax form for state of Wisconsin health care programs like Medicaid or BadgerCare Plus, please review the FAQs below.

Who will get a 1095-B tax form?

Every person who had minimum essential coverage from a state of Wisconsin health care program in 2016 will get a 1095-B tax form from the Wisconsin Department of Health Services. Minimum essential coverage is the type of coverage a person must have to avoid the fee for not having insurance, as required by the Affordable Care Act. Health care programs that provide minimum essential coverage include BadgerCare Plus, Medicaid, and other state of Wisconsin health care programs.

Some Wisconsin health care programs may not count as minimum essential coverage. The following programs are some of the more common programs that do not meet the requirements to be considered minimum essential coverage:

·        Family Planning Only Services

·        Express Enrollment (for pregnant women)

·        SeniorCare

·        Medicare Savings Programs (also known as Medicare Premium Assistance)

If you were enrolled in one of these programs and not enrolled in BadgerCare Plus or Medicaid at any time during the year, you will not get a 1095-B form from the Wisconsin Department of Health Services.

The Wisconsin Department of Health Services is also required to send copies of members’ 1095-B tax forms directly to the IRS.

Note: For more information on minimum essential coverage, visit healthcare.gov.

When will I get my 1095-B tax form?

Most people who are getting a 1095-B tax form for 2016 will get it by early February.

What does a 1095-B tax form have on it?

The 1095-B tax form will include:

  • Your name
  • Your address
  • Your Social Security Number (last four digits only)
  • Your date of birth (only if the Social Security number is not available)
  • The months in the tax year that you were covered by BadgerCare Plus, Medicaid, or another state of Wisconsin health care program that is considered minimum essential coverage. On the form, there is a box checked for each month you had coverage; if you had coverage for all 12 months, there is a separate box checked indicating you had coverage for the entire year.

Does getting a 1095-B tax form mean I have to file taxes?

Receipt of a 1095-B tax form does not mean you must file taxes. Everyone’s tax situation is different and you may or may not have to file a federal income tax return for your household. If you do file taxes, keep the 1095-B form for your records and use it to help answer health care coverage questions on your tax return. If you do not file taxes and are not being claimed as someone’s tax dependent, you can disregard the 1095-B form. Please contact the IRS or another tax professional for assistance on taxes.

Do I have to pay a fee/penalty on my taxes if I didn't have health care coverage last year?

According to federal law, if you did not have minimum essential coverage for at least three months of the tax year and do not qualify for an exemption, you may have to pay a fee when filing your federal income taxes. The fee is on a sliding scale based on your household size, household income, and how many months you did not have minimum essential coverage.

What do I do if I get a corrected 1095-B tax form?

If you got a corrected 1095-B tax form, there was an update to your coverage information since the original form was sent. Use the information on the corrected 1095-B form when filing your taxes. The information on any previous 1095-B forms is no longer current and should not be used.

If you need a corrected form, contact your local agency.

What should I do if my 1095-B tax form is incorrect?

You should call the Wisconsin 1095-B form assistance line at 1-866-667-9419, or contact your agency.

Why did my household receive multiple 1095-B tax forms?

The Wisconsin Department of Health Services is required to send 1095-B tax form information to every individual who had Wisconsin health care coverage in a tax year. If your household received multiple 1095-B tax forms, it may mean multiple people in your household had Wisconsin health care coverage in the last tax year.

How do I get a copy of my 1095-B tax form?

To get a copy of your 1095-B tax form, contact the Wisconsin 1095-B form assistance line at 1-866-667-9419. Note: In most cases, you do not have to mail a copy of your 1095-B tax form to the IRS with your tax return.

You may only get a copy of another person's 1095-B tax form, or information about another person's 1095-B tax form, if you are on the same health care case as that person. For example, if you are not on the same case as your child, you will need to ask for a copy of the form from the person who is on the same case as your child, such as the child’s other parent. For privacy and security reasons, we cannot give you a copy of the form directly.

How do I get a copy of my child or tax dependent’s 1095-B tax form?

If you are currently on the same health care case as your child or tax dependent, you can contact the Wisconsin 1095-B form assistance line at 1-866-667-9419 to request a copy of the child or tax dependent’s 1095-B tax form. For privacy and security reasons, you may only get a copy of another person’s1095-B tax form, or information about another person’s tax form, if you are on the same health care case as that person.

If you are not on the same health care case as your child or tax dependent, you can get a copy of his or her 1095-B tax form by doing one of the following:

  • Ask the person who received the form for it.
  • Have someone on the child’s or tax dependent’s health care case call the Wisconsin 1095-B form assistance line, and ask that a copy of the tax form be sent to you.

What should I do if my child is on the same health care case as me, but I didn’t receive his or her 1095-B form?

All 1095-B tax forms will be sent to the mailing address we have on file for each the person. If your child is not listed on your P.O. Box or known to the U.S. Postal Service as receiving mail at your mailing address, your child’s mail will not be delivered.

You can get your child’s 1095-B tax form by doing one of the following:

  • Contact your local post office to add your child to your P.O. Box or mailing address. Then, call the Wisconsin 1095-B form assistance line at 1-866-667-9419 to request a copy of your child’s 1095-B tax form.
  • Call the Wisconsin 1095-B form assistance line to add “care of” or “c/o” information to your child’s mailing address and to send a copy of your child’s 1095-B tax form.

I am a member of an American Indian tribe, descendant of a tribal member, and/or eligible for Indian Health Services. I got a letter with my 1095-B tax form saying I may be eligible for an exemption from the requirement to have health insurance coverage. Am I exempt?

If you are a member of an American Indian tribe, descendant of a tribal member, and/or eligible for Indian Health Services, you may be eligible for an exemption from the requirement to have health insurance coverage. If you think you may qualify for an exemption and need help with getting an exemption, you should contact a tax professional.

There is more information on the federal Health Insurance Marketplace website about exemptions, including the Indian health coverage exemption: healthcare.gov/health-coverage-exemptions/forms-how-to-apply

What should I do with a 1095-A tax form or a 1095-C tax form?

The Wisconsin Department of Health Services does not send out 1095-A or 1095-C tax forms. To learn more about 1095-A and 1095-C tax forms or to find out how to get a tax form if you need one, visit the appropriate IRS website: 1095-A tax form ; 1095-C tax form.

If I need more help with my 1095-B tax form, who can I contact?

You can contact the Wisconsin 1095-B form assistance line at 1-866-667-9419. Or contact your local agency.

Where can I find out if I qualify for an exemption or get help filing my taxes?

There is information on the IRS website about exemptions from the minimum essential coverage requirement: healthcare.gov/health-coverage-exemptions/forms-how-to-apply. If you think you may qualify for an exemption and need assistance, you should contact a tax professional.

You can get free tax assistance from Volunteer Income Tax Assistance (VITA) and Tax Counseling for the Elderly (TCE) programs. They offer free tax help for taxpayers who qualify. To find a VITA or TCE site near you, go to the IRS site or call 211.

 

 

Last Revised: January 3, 2017