Form 1095-B Returns
NOTE: Your Form 1095-B is proof of healthcare insurance for the IRS and does not require completion or submission to DHCS. Please keep this form for your records.
The Affordable Care Act (ACA) requires individuals to have health coverage that meets a minimum standard called Minimum Essential Coverage (MEC).
Per the Internal Revenue Code Section 6055 the California Department of Health Care Services (DHCS) will begin issuing Internal Revenue Service (IRS) Form 1095-B to all Medi-Cal beneficiaries annually, starting in January 2016.
The Form 1095-B will report the months of MEC a beneficiary received during the calendar year. DHCS will send your MEC information to the IRS and beneficiaries are not required to provide Form 1095-B to the IRS if they chose to file their taxes. Beneficiaries should keep Form 1095-B for their record as proof they received health coverage during the tax year.
For questions regarding this notice or for additional information regarding Form 1095-B, contact a live agent at DHCS' Medi-Cal Helpline 1-844-253-0883.
To ensure Form 1095-B contains correct information, beneficiaries should contact their county human services agency to report changes such as their new address, income, employment, or a change in household size. Failure to report changes may result in delays and inaccurate information on Form 1095-B.