1095-B Health Coverage Tax Reporting Forms
The IRS no longer requires 1095-B health coverage tax reporting forms for filing tax returns or determining tax liability for 2019. If you still wish to have a copy of your 2019 Form 1095-B, call (844) 565-0630 or submit your information using the form below.

* Required field
First name*
First name*
Last name*
Last name*
Street address*
Street address*
Street address 2
Street address 2
City*
City*
State*
State*
Zip code*
Zip code*
Email address*
Email address*
Phone number*
Phone number*
HealthPartners member ID (8 digits)*
HealthPartners member ID (8 digits)*