Get your Form 1095-B in 3 easy steps

  • 01 Fill and edit template
  • 02 Sign it online
  • 03 Export or print immediately

What is IRS 1095-B?

Form 1095-B or Health Coverage form is intended to show the IRS the details of taxpayer health insurance. Considering the Affordable Care Act (or Obamacare), almost all US citizens must have at least the minimum required coverage. The taxpayer will need to review the information on IRS 1095-B when it is time to file a tax return, in particular, to check the box asking if the submitter has insurance coverage.

Form 1095-B on PDFLiner

What I need the IRS 1095-B for?

The form may be used by the employers who cover the health insurance of their employees, or insurance providers. The first case is much more typical, but it is applicable only if the company has less than 50 full-time employees. If 50 or more employees work for the company, the employer has to file IRS 1095-C. Although the information provided on Form 1095-B is mentioned in the annual tax return, there is no need to attach it to 1040 or an equivalent form. The completed report must be kept in the tax records of the individual.

Filling out IRS 1095-B

The form requires a person to state the following information:

  • Part 1: Responsible individual (employee) information;
  • Part 2: Employer-sponsored coverage information;
  • Part 3: The issuer or Other Coverage Provider;
  • Part 4: Covered individuals.

Filling Form 1095-B on PDFLiner

Organizations that work with IRS 1095-B

The form isn’t supposed to be sent in any organization.

Relevant to IRS 1095-B form 2021

w 9 form pdf form application for us passport tax return form for 1099 misc

Form Versions

2021 Fillable Form 1095-B for 2021 tax year Fill Out Form
2020 Fillable Form 1095-B for 2020 tax year Fill Out Form

What people say

  • Fred Walters
    Now that I’ve switched from Word to PDFLiner, I save lots of time processing and digitally distributing tons of billing forms, work orders, forecast reports, and invoices. In addition to this, thanks to PDFLiner, we’ve significantly minimized our paper consumption. Excellent tool that helps me cope with my business workflow faster and easier.
  • Peter Scheffel
    Self-employed attorney
    PDFLiner allows me to streamline the processes of generating and managing legal documents, as well as collecting electronic signatures for all my contracts and agreements. I like that I can customize forms on the go and access PDFLiner from all my gadgets. No more printing or scanning! That’s just brilliant!
  • Lisa Matthews
    University student
    When you’re a student, you deal with PDFs a lot… Newsletters, various worksheets, official forms you need to fill in and sign, etc… To me, filling out a PDF form used to be among the trickiest and most time-consuming things ever. But then a friend of mine introduced me to PDFLiner, and oh my God, my life has changed since then. It’s easy to use and has so many great features. Just awesome, I love it!
Fillable online Form 1095-B
(5 / 5) 1 votes
Please, wait...
We use unpersonalized cookies to keep our site working and collect statistics for marketing purposes. By continuing to use this site, you consent to this policy. Learn more