1095-B Form Request Form - Blue Cross and Blue Shield of Texas

Sep 20, 2026

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This document provides instructions and a template for Blue Cross and Blue Shield of Texas (BCBSTX) members to request their 1095-B tax forms. Although these forms are no longer required for federal income tax filing starting in 2021, members retain the right to request them. The guide specifies the mandatory information required for the request, including the member's name, ID number, and group number. It further details the mailing process for submitting these requests to the BCBSTX correspondence center.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Form 1095-B Request Instructions

Required Information

Mailing Address

FAQs

Is Form 1095-B required for my 2020 federal tax return?

No, starting in January 2021, BCBSTX members no longer need the information on Form 1095-B to file their 2020 federal income taxes.

What information must I include in my request for a 1095-B form?

You must include your name, member ID number, and group number in your request.

How long does it take to receive the form after submitting a request?

Once your request is mailed and received, your Form 1095-B will be sent to the address on file within 30 days.

Sep 20, 2026

Upload by Marry