[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-302179-105":53,"doc-detail-302179-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","health-coverage-form-1095-b-instructions-for-recipient","Health Coverage - Form 1095-B - Instructions for Recipient","","Form 1095-B(2025) Health Coverage gathers information about minimum essential health coverage held by individuals in a tax family for some or all months during the year. It specifies details for the responsible individual (identity, SSN or TIN, address, and coverage type code) and employer-sponsored coverage and issuer/provider information when applicable. The form also lists covered individuals, identifiers, dates of birth rules, and month-by-month coverage indicators, including privacy and paperwork notice 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Montgomery","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":73},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114,118],{"name":105,"@type":106,"acceptedAnswer":107},"What information does Form 1095-B provide for recipients?","Question",{"text":108,"@type":109},"Form 1095-B provides information about individuals in the tax family who had certain minimum essential health coverage for some or all months during the year.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How is coverage type identified on Part I, line 8?",{"text":113,"@type":109},"Line 8 uses a single letter code to indicate the type of minimum essential coverage in which the responsible individual or covered individuals were enrolled.",{"name":115,"@type":106,"acceptedAnswer":116},"When will a date of birth be entered for a covered individual?",{"text":117,"@type":109},"A date of birth is entered in column (c) only if the SSN or other TIN is not entered in column (b).",{"name":119,"@type":106,"acceptedAnswer":120},"What determines whether Part IV uses month-by-month coverage indicators?",{"text":121,"@type":109},"Column (d) is checked if the individual was covered at least 1 day in every month of the year; for partial-year coverage, months are indicated in column (e).","https://schema.org",{"og:url":78,"og:type":124,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":126,"canonical":78},"index,follow",{"doc_id":128,"site_id":56},302179,1790195915,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":88,"user_avatar":133,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":139,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":61,"update_tm":143,"read_time":9},549768064778,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","OMB No.1545-2252  \n# Health Coverage\n\n□CORRECTED2025  \nDo not attach to your tax return.Keep for your records.  \nGo to www.irs.gov/Form1095B for instructions and the latest information.  \nResponsible Individual  \n# Part l\n\n1 Name of responsible individual-First name,middle name,last name  \n2 Social security number (SSN)or other TIN  \n3 Date of birth (if SSN or other TIN is not available)  \n5 City or town  \n4 Street address (including apartment no.  \n6 State or province  \n7 Country and ZIP or foreign postal code  \n9 Reserved  \n8 Enter letter identifying Origin of the Health Coverage (see instructions for codes):.  \nPartⅡ Information About Certain Employer-Sponsored Coverage (see instructions)  \n10 Employer name  \n11 Employer identification number(EIN)  \n14 State or province  \n12 Street address(including room or suite no.)  \n13 City or town  \n15 Country and ZIP or foreign postal code  \nIssuer or Other Coverage Provider(see instructions)  \n# Part II\n\n16 Name  \n17 Employer identification number(EIN)  \n18 Contact telephone number  \n19 Street address (including room or sute no.)  \n20 City or town  \n21 State or province  \n22 Country and ZIPor foreign postal code  \n# Part IV\n\nCovered Individuals(Enter the information for each covered individual.)  \n(b)SSN or other TIN  \n(a)Name of covered individual(s)  \n(c)DOB(if SSN or other(d)Covered  \n(e)Months of coverage  \nall 12 months  \nFirst name,middle initial,last name  \nTIN is not available)  \nJan  \nFeb  \nMar  \nApr  \nMay  \nJun  \nJul  \nSep  \nOct  \nAug  \nNov  \nDec  \n23  \n□  \n□  \n□  \n24  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n25  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n26  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n27  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n□  \n28  \nFor Privacy Act and Paperwork Reduction Act Notice,see separate instructions.  \nForm 1095-B(2025)Created 9/24/25  \nCat.No.60704B  \n# Instructions for Recipient\n\nThis Form 1095-B provides information about the individuals in your taxfamily (yourself,spouse,and dependents)who had certain health coverage(referred to as “minimum essential coverage”)for some or all months duringthe year.Minimum essential coverage includes govemment-sponsoredprograms,eligible employer-sponsored plans,individual market plans,and other coverage the Department of Health and Human Servicesdesignates as minimum essential coverage.  \nIf individuals in your tax family are eligible for certain types of minimumessential coverage,you may not be eligible for the premium tax credit.Formore information on the premium tax credit,see Pub.974,Premium TaxCredit(PTC).  \nTip:Providers of minimum essential coverage are required to fumish onlyone Form 1095-B for all individuals whose coverage is reported on that form.As the recipient of this Form 1095-B,you should provide a copy to otherindividuals covered under the policy if they request it for their records.  \nAdditional information.For additional information about the tax provisionsof the Affordable Care Act (ACA)and the premium tax credit,seewww.irs.gov/ACA or call the IRS Healthcare Hotline for ACA questions(800-919-0452).  \n## Part I.Responsible Individual,lines 1-9.Part I reports information aboutyou and the coverage.\n\nLines 2 and 3.Line 2 reports your social security number (SSN)or othertaxpayer identification number (TIN),if applicable.For your protection,thisform may show only the last four digits.However,the coverage provider isrequired to report your complete SSN or other TIN,if applicable,to the IRS.Your date of birth will be entered on line 3 only if line 2 is blank.  \nLine 8.This is the code for the type of coverage in which you or othercovered individuals were enrolled.Only one letter willbe entered on this line.  \nA.Small Business Health Options Program (SHOP)  \nB.Employer-sponsored coverage  \nC.Government-sponsored program  \nD.Individual market insurance  \nE.Multiemployer plan  \nF.Other designated minimum essential coverage  \nG.Individual coverage health reimbursement arrangement (HRA)  ","cbCaiiuq0fMkErX1","https://ap.wps.com/l/cbCaiiuq0fMkErX1","pdf",317850,"English","# Health Coverage\n## Part I. Responsible Individual (lines 1-9)\n## Part II. Information About Certain Employer-Sponsored Coverage (lines 10-15)\n## Part III. Issuer or Other Coverage Provider (lines 16-22)\n## Part IV. Covered Individuals (lines 23-28)\n## Instructions for Recipient","[{\"question\":\"What information does Form 1095-B provide for recipients?\",\"answer\":\"Form 1095-B provides information about individuals in the tax family who had certain minimum essential health coverage for some or all months during the year.\"},{\"question\":\"How is coverage type identified on Part I, line 8?\",\"answer\":\"Line 8 uses a single letter code to indicate the type of minimum essential coverage in which the responsible individual or covered individuals were enrolled.\"},{\"question\":\"When will a date of birth be entered for a covered individual?\",\"answer\":\"A date of birth is entered in column (c) only if the SSN or other TIN is not entered in column (b).\"},{\"question\":\"What determines whether Part IV uses month-by-month coverage indicators?\",\"answer\":\"Column (d) is checked if the individual was covered at least 1 day in every month of the year; for partial-year coverage, months are indicated in column (e).\"}]","Health Coverage - Form 1095-B - Instructions for Recipient | PDF",1789790081]