The Affordable Care Act (ACA) requires health insurers like EmblemHealth to submit Form 1095-B to the IRS by March 31 every year. This form reports an individual’s health coverage for the year. Depending on your plan, EmblemHealth may submit this information about you to the IRS.
IRS Form 1095-B
Frequently Asked Questions
04/17/2025
Form 1095-B provides basic information about your health insurer, the employer sponsoring the health coverage, and individuals covered by the health insurance policy.
Form 1095-B for the prior calendar year will be prepared for the subscriber by January 31. Beginning April 1, 2025, the 1095-B form will not be automatically mailed to you. You can find your 1095-B form under Spending and Benefits in the member portal. Click Plan Documents for your current plan and choose the correct year under Tax Forms. You can also request a print copy by calling the number on the back of your member ID card.
If you find an error in your 1095-B, please call the number on the back of your member ID card. A corrected Form 1095-B will be generated with the updated information.
The ACA requires health insurers like EmblemHealth to submit Form 1095-B information for the prior calendar year to the IRS by March 31 of every year for most covered members. The IRS will use the TIN/SSN reported on Form 1095-B to help match the health coverage information with the information reported on the member’s federal tax return and/or health coverage information filed by the member’s employer.
You should know that EmblemHealth adheres to strict privacy rules. For security reasons, all TINs/SSNs recorded in our membership files are masked with only the last four numbers visible (for example, ***-**-7020). Only those customer service advocates with unique security access are able to update a member’s TIN/SSN. If you do not respond to our letters requesting your TIN/SSN, EmblemHealth will instead report your date of birth on Form 1095-B. The IRS may not be able to match the health coverage information reported on your Form 1095-B with your income tax return with just your birthdate and therefore may be unable to verify you had health coverage during the tax year.
For additional information about the ACA individual shared responsibility provisions, please visit the Internal Revenue Service or contact your tax advisor.
If you have questions about the Form 1095-B you received from EmblemHealth, call the number on the back of the member ID card.
The FAQs above are current as of the date written and are subject to change based on updates and guidance from the Internal Revenue Service and other federal government agencies.