The Form 1095 is a federal tax form. There are 3 types of these forms.

1. CBIZEMPLOYEEBENEFITS
What is the Form 1095?
The Form 1095 is a federal tax form. There are 3 types of these forms:
 The Form 1095-A shows that you received health coverage through the health insurance marketplace
during 2019.
 The Form 1095-B shows that you received minimum essential coverage provided by an insurer or other
entity during 2019.
 The Form 1095-C shows whether your employer offered health coverage in 2019, and whether that offer
of coverage met minimum value standards and was affordable. The Form 1095-C might also show whether
you were covered by minimum essential coverage in 2019 offered by your employer.
When will I receive a Form 1095?
 If you received health coverage through the marketplace in 2019, you’ll receive a Form 1095-A by early
February, 2020.
 If you are entitled to a Form 1095-B, you’ll receive it by early March, 2020. Alternatively, the insurer or
entity who provided your health coverage during 2019 may choose to make the Form 1095-B available
only upon request. If you want a copy of your Form 1095-B, contact the insurer or entity who provided your
health coverage.
 If you were employed by an employer who employed 50 or more employees during 2019, you’ll receive a
Form 1095-C in early March, 2020.
Do I need the Form 1095 to file my federal taxes?
No. You do not need the Form 1095 to file your 2019 federal taxes. You should keep the document for your
records.
Is the Individual Mandate still in effect?
The Affordable Care Act’s requirement for individuals to maintain minimum essential coverage, or pay a tax
penalty, is no longer in effect.
However, some states impose a requirement for residents to maintain minimum essential coverage, or be subject
to a state tax penalty. States currently imposing an individual mandate are California, District of Columbia,
Massachusetts, New Jersey, Rhode Island and Vermont. If you live in one of these states, contact your state
tax department for information about your obligations. If you live in one of these states and are subject to the
requirement to maintain health coverage, the Form 1095 that you receive may be useful in proving that you had
health coverage.
Example of Form 1095-C
For more information, visit these IRS websites:
 http://www.irs.gov/affordable-care-act/individuals-and-families/affordable-care-act-what-to-expect-when-
filing-your-tax-return
 http://www.irs.gov/affordable-care-act/individuals-and-families
My Form 1095 information is incorrect.
Who do I contact?
If information on your Form 1095-A is incorrect,
contact the marketplace from where you received
coverage. Contact the insurance company if
information on the Form 1095-B is incorrect. Contact
your HR or benefits department if information on the
1095-C is incorrect.
Examples of information that could be incorrect are
your name, address or Social Security Number.
If you have questions about how your Form
1095 relates to your tax return, please
consult your tax professional.