Form 1095-B

What is Form 1095-B?

Form 1095-B is a health insurance tax form which reports the type of coverage you have, dependents covered by TeamCare, and the period of coverage for the prior year.

Why did I receive Form 1095-B?

TeamCare is required by federal law, referred to as the Affordable Care Act (ACA), to provide Form 1095-B to anyone who received coverage during the previous tax year. This form is used to verify, on your tax return (Form 1040, Line 61), that you and/or your dependents have minimum essential health coverage. This information is also sent to the IRS. While the information on Form 1095-B may assist in preparing a return, it is not required. Taxpayers can prepare and file their returns using other information about their health insurance. Please review Form 1095-B instructions and/or consult with your tax professional.

What is the ACA?

The Affordable Care Act is a complex piece of legislation designed to reform the healthcare system by providing more Americans with quality and affordable healthcare.

Does TeamCare provide minimum essential coverage under the ACA?

Yes. Coverage under an eligible employer-sponsored plan (like TeamCare) constitutes minimum essential coverage under the ACA if coverage is offered to the employee, spouse (if filing jointly), and the employee’s dependents (defined as children under age 26). TeamCare is an eligible employer-sponsored plan.

How do I get another copy of my Form 1095-B?

You can print your own Form 1095-B by logging into our secure website. The form is located under My Documents on your dashboard.

If you haven't received your 1095-B in the mail by February 15 or are unable to print one, you can request that a duplicate copy be mailed to you by sending us a message through the Message Center which can be found on the Contact Us page of our website or under Message Center on your dashboard. Be sure to include "Duplicate 1095-B" in the subject line, and provide provide your social security number or unique member identification number (UMI), current address, daytime telephone number, and the tax years needed.

You may also call one of our Benefits Specialists at 800-TEAMCARE to request a copy.

Why did I receive more than one Form 1095-B?

You received multiple 1095-B Forms if you had minimum essential coverage from multiple insurance providers. Your dependents may also receive a Form 1095-B if they had minimal essential coverage from another insurance provider. All Forms 1095-B will be on file with the IRS, and you will need each of these forms to complete your return.

What do the check boxes in Part IV on Form 1095-B mean?

A check in a box indicates that coverage was provided for at least one day in the month indicated. If coverage was provided for at least one day in all months of the year, then Column (d) is checked. Note: Coverage is not provided during waiting and establishing periods for participants new to TeamCare, thus a box will not be checked during these months.

What happens if I have months not checked?

If a covered individual does not have coverage for all 12 months, as noted by a check in Column (d), you may have to pay a penalty or you may qualify for an exemption. Exemptions are reported on Form 8965 and the types of exemptions are listed in the Instructions to Form 8965. Refer to your professional tax advisor or visit for more information.

I believe that the boxes checked on my Form 1095-B are incorrect. What should I do?

Please contact us by mail at TeamCare, Accounts Receivable Department, P.O. Box 5108, Des Plaines, IL 60017-5108 or send a message through the Message Center; be sure to include your daytime telephone number, a copy of your Form 1095-B and indicate the information you believe to be incorrect. We will review your Form 1095-B and, if necessary, issue a corrected Form 1095-B. If we determine that the original form was correct we will contact you and provide an explanation.

If my address is incorrect on my Form 1095-B do I need to get a corrected form?

No. An incorrect address does not require a corrected Form 1095-B.

However, if you would like to update your address, contact us at 800-TeamCare.

Does TeamCare provide tax advice regarding the Form 1095-B?

No. You should seek advice from a professional tax advisor, contact the IRS at 1-800-829-1040 or visit the IRS website at  

Why did I also receive a Form 1095-C from my Employer?

The IRS mandates that companies determined to be “large employers” must also send a Form 1095-C to all their employees. Form 1095-C merely describes what coverage was made available to an employee, and Form 1095-B provides details about an employee’s actual insurance coverage, including coverage for dependents.