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Form 1095 B Anchorage Alaska: What You Should Know

The Form 1095-B and related forms are reports the income and insurance coverage of a member over the last 20 eligible years that show they are qualified for coverage under a qualified health plans (HPS). A HPS is health insurance plan that meets minimum coverage standards. Qualified health plans are generally provided by a state and are either Medicare or HPS. A HPS meets minimum coverage standards based upon the age of an Individual (i.e. “Age 61 and over” or the “age 65 and over”). Qualified health plans may also meet an income eligibility standard. The minimum age to be eligible is determined by the state and may be 55 and over or 62 and over with an income of 65% of the federal poverty level or less. These laws apply to the following residents: In Alaska, this income eligibility determination system applies only to Alaska residents; The Alaska Health Care Cost Containment System (AHC CCS) determines income eligibility for HPS; and, In the 10 contiguous states that are members and possess an adequate supply of qualified health plans with a low premium, this income eligibility determination system applies to residents regardless of age or income. The Form 1095-B reports the health insurance coverage under a HPS and the income and employment information that shows eligibility. Generally, this information is based on the following: • State and local income and taxes; • Income tax (or social security); • Employer social security or Medicare contributions; • Employee social security or Medicare contributions; • State and local government benefits; • Medical or dental insurance premiums; • Deductible; • Expense ratios; and, Health savings accounts (HSA) Contributions or other non-deductible contributions that are in excess of those applicable for filing a joint return. If you are a member of a HPS, or have an eligibility for Medicare, you will not need to file a medical payment card form (MP-10). If you are receiving Medicaid in Alaska, you will also need to file MP-10s. The other forms that may be needed for a member  of a HP include, but are not limited to: 1) W-2; 2) Employee's statement of tax withholding; 3) Business filing for Federal Income Tax and Federal Insurance Contributions Act (FICA); 4) U.S. Income tax return; and, 5) HP Form 1095-B/W9.

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