up chevron

The 1095 tax form verifies health insurance coverage for calendar year 2019 and is reported to the Internal Revenue Service (IRS) for you. The form is used to verify that you and your tax dependents had minimum qualifying health insurance coverage during the year. You may receive more than one 1095 form based on the type of health care coverage you and your dependents had in 2019 (for example: Medicaid/FAMIS, Employer sponsored, or Federal Marketplace coverage).

If you, your spouse, or one of your children were enrolled in a Medicaid or FAMIS program meeting the minimum health insurance coverage requirements in 2019, you will receive a 1095-B form from the Commonwealth of Virginia. The 1095-B form may also be used for anyone covered by individual market insurance, Small Business Health Options Program (SHOP), some employer sponsored coverage, and certain other coverage providers.

The 1095-B Form that you receive in the mail

The Commonwealth of Virginia should mail the 1095-B forms by January 31st, 2020. The Commonwealth will also send this information directly to the IRS for you. You will not need to attach the 1095 form to your federal income tax return, although you should keep the 1095 form with your tax records. (Note: You will not receive a 1095-B form for enrollment in the following Medicaid programs: Plan First, GAP, Medicaid Emergency Services for dialysis and QMB premium payments. These programs do not meet the minimum health insurance coverage requirements.)

For more information about Proof of Health Insurance 1095 forms, fines for not having health insurance, or other questions about your federal taxes, visit the IRS website or call them at 1-800-829-1040. For information about free help to file your federal taxes, go to https://www.irs.gov/Individuals/Free-Tax-Return-Preparation-for-You-by-Volunteers.

If you had federal Marketplace health insurance coverage in 2019 and have questions about your 1095-A Proof of Health Insurance form, call the Marketplace at 1-800-318-2596 or visit healthcare.gov for more information.

If you had health insurance coverage through your employer in 2019, you may receive either a 1095-B or 1095-C form depending on the type of coverage. Ask your employer for a copy of your 1095 Proof of Health Insurance form.

Cover Virginia is prepared to answer specific questions about your Virginia 1095-B form for Medicaid and FAMIS coverage. Call Cover Virginia at: (855) 242-8282

(Note: This call center cannot assist with questions about 1095-A or 1095-C forms or with tax related questions.) When you call Cover Virginia, please have your or your child’s Social Security Number and Medicaid/FAMIS member ID number, or your DSS case number. The Medicaid/FAMIS member ID number can be found on your blue and white Medical Assistance Identification Card and your DSS case number can be found on your health insurance coverage approval or cancellation letter from DSS.