Form 1095-B, Health Coverage

Reporting of Health Insurance Coverage

OMB: 1545-2252

IC ID: 213670

Documents and Forms

Document Name Document Type
Form 1095-B Form 1095-B, Health Coverage Form
1095-B Health Coverage f1095-b--2025-00-00.pdf Form
Instructions for Form 1094-B and 1095-B rev 2024.pdf Instruction
REG-132455-11.pdf REG 132455-11 Reporting of Minimum Essential Coverage IC Document
TD 9660.pdf TD 9660 IC Document