Form 1095-B Q&A

Members who will receive Form 1095-B from Kaiser Permanente include:

  • small group
  • SHOP
  • large group (fully insured)
  • off-Marketplace individual and family plan members

For subscribers receiving a 1095-B from Kaiser Permanente:

  • Form 1095-B will be mailed to subscribers from Kaiser Permanente by early February.
  • Form 1095-B may be used to support proof of coverage on your tax filing. You may need your form to show proof of medical health plan coverage when filing your tax returns with a tax preparer. Please visit the IRS page on health care information formsKaiser Permanente is not responsible for the content or policies of external Internet sites, or mobile apps. for more information.
  • If you believe the information on your Form 1095-B is incorrect, please contact Kaiser Permanente at 844-477-0450. The hours of operation are from 8 a.m. to 6 p.m., Monday through Friday, and 7 a.m. to 3 p.m. Saturday and Sunday (Pacific Time).
  • If you lost or need another copy of your Form 1095-B, the form is available through your personal documents page.

What is Form 1095-B? What do I need to do with it?

This form serves to report proof that you and anyone you enrolled as a dependent on your Kaiser Permanente plan had a basic level of health coverage for specific dates. This form only relates to health coverage you have through Kaiser Permanente. The 1095-B form lists individuals in your family who were enrolled in your coverage and shows their months of coverage.

Use the information on this form to help complete your tax return. However, you may not need to wait to receive your 1095(s) to complete your taxes. Please visit the IRS page on health care information forms for more information.

If you or your household had more than one policy with Kaiser Permanente during the coverage year, you should expect to receive multiple 1095-B forms.

For specific questions about your tax situation, please talk to your tax preparer.

I lost my Form 1095-B. What should I do?

You can order another to be sent to you, or you can download a duplicate form from your personal documents page. You must be a registered member to access this secured feature. If you haven’t registered yet, visit kp.org/registernow from your computer to get started.

How do I access my 1095-B from Kaiser Permanente through kp.org?

Subscribers have the ability to access their 1095-B from Kaiser Permanente through kp.org. You must be a registered member to access this secured feature.

If you haven't registered yet, visit kp.org/registernow from your computer to get started. Once you're registered, please follow the steps below:

  • Go to kp.org.
  • Enter your ID and password to sign on.
  • Click "My coverage and costs."
  • Click the "My documents" link to the far right of the page.
  • Click the link in the "Tax documents" section.
  • Download and print the form.

The people covered under my policy want copies of Form 1095-B for their records. How can I get reprints of it?

You can go to your personal documents page and get an electronic copy of the form.

What does the information on the Form 1095-B mean?

Form 1095-B gives information about your health coverage. It has 4 parts:

  • Part 1 identifies the person who's named as the subscriber on the health plan coverage.
  • Part 2 identifies your employer, if your coverage is sponsored by your employer.
  • Part 3 identifies the company (an issuer/carrier like Kaiser Permanente) providing your health plan coverage.
  • Part 4 lists the people in your household who are covered by the health plan coverage.
    • For each name, there is a box that will be checked if the person was covered by health plan coverage for all 12 months of the year.
    • If the person wasn't covered for all of the year, there is a box for each month. The months that the person was covered will be checked.

Why did I get a second Form 1095-B with different information?

Sometimes a corrected Form 1095-B is sent when information used in the original one changes or is corrected. Make sure to use the most recent form when filing your taxes.

I'm enrolled in a stand-alone dental plan. Will I get a 1095-B?

No. Stand-alone dental plans don't qualify as minimum essential coverage, so you won't get a Form 1095-B.

Why didn’t I get a Form 1095-B?

You only get Form 1095-B from Kaiser Permanente if you had one of the following types of plans:

  • individual and family plans purchased directly through Kaiser Permanente (not the Marketplace)
  • plans provided by your small employer
  • SHOP (Small Business Health Options Program) plans
  • fully insured plans provided through your large employer

If you have Kaiser Permanente coverage but are enrolled through Medicare, Medicaid, CHIP, or the Marketplace, you should expect to receive your 1095 from one of those government agencies.

If you receive your coverage from a large self-funded employer, you should expect to receive a 1095-C from your employer.

The information on my 1095-B is incorrect. Do I need a corrected form?

 

The information on your 1095-B is a reflection on the data Kaiser currently has on record for you and your dependents. If the information is wrong, we need to update your information in order to send an updated form.

If you receive coverage through your employer, please update your information with your employer. Once we receive your updated information, we'll create an updated 1095-B within approximately 30 days.

If you have a non-Marketplace individual and family plan, please call us at 844-477-0450 and we will help you update your information. Once your information is updated, we'll create an updated 1095-B within 30 days.

Once a correction has been received and processed, the original Form 1095-B statement and any corrections will be available to you through your personal documents page.

Why is the information on my 1095-B incorrect? How do I correct it?

The information on your 1095-B is a reflection on the data Kaiser Permanente currently has on record for you and your dependents. If the information is wrong, we need to update your information. Once we correct your Social Security number, date of birth, or coverage period, you should get your new form within 30 days. For other changes (such as your name or address), we won't automatically send you a new 1095-B form.

If you receive coverage through your employer, please update your information with your employer. Once we receive this updated information, we'll create an updated 1095-B within approximately 30 days.

If you have a non-Marketplace individual and family plan, please call us at 844-477-0450 and we'll help you update your information. Once your information is updated, we'll create an updated 1095-B within 30 days.

However, you may not need to wait to receive your 1095(s) to complete your tax filings. Please visit the IRS page covering health care information formsKaiser Permanente is not responsible for the content or policies of external Internet sites, or mobile apps. for more information.

When will I get my corrected Form 1095-B?

 

Once we receive a data correction for a Social Security number, date of birth, or coverage period, it will take approximately 30 days for the updated form to be mailed. For other changes (such as your name or address), we won't automatically send you a new 1095-B form.

I had coverage through Medicare. What will I get so I can show I had coverage?

Medicare will send you a Form 1095-B if you received Medicare Part A coverage (including Part A coverage through a Medicare Advantage plan) and any of the following was true for you for the tax year:

  • You were under 65.
  • You enrolled in Part A for the first time.
  • You had Part A for only a portion of the tax year.

If none of that was true for you, you'll be instructed to check the box indicating that you had coverage in the tax year.

Where can I get more information on my Form 1095-B?

If you got your Form 1095-B from Kaiser Permanente, visit kp.org/proofofcoverage or call Member Services at 844-477-0450.

If you got your Form 1095-B from a government agency, visit the appropriate government agency's website.

Medicare members should reach out to Centers for Medicare and Medicaid Services directly at 1-800-MEDICARE (1-877-486-2048) or visit medicare.govKaiser Permanente is not responsible for the content or policies of external Internet sites, or mobile apps..

Medicaid and CHIP members should call their respective Medicaid agencies.

Where can I get help filing my taxes?

You can get free help completing your taxes. Choices include free tax software programs or personal assistance. For more information, visit irs.gov/freefileKaiser Permanente is not responsible for the content or policies of external Internet sites, or mobile apps. or irs.gov/vitaKaiser Permanente is not responsible for the content or policies of external Internet sites, or mobile apps..

You can also get professional tax assistance. For information about choosing a tax professional, visit irs.gov/tax-professionalsKaiser Permanente is not responsible for the content or policies of external Internet sites, or mobile apps..