Form 1095 B California San Bernardino 2024-2025

Form 1095 B California San Bernardino: What You Should Know

This Form does not include the information about all individuals in your family. This form is required every year in June. What the form does (for 2018) — Health insurance policies offered by the following Health Carriers: Blue Cross Blue Shield (B Blue, ACA; BMO, Aetna/Human; CHINA, Headfirst Blue Cross Bluesier; Cagney, Blue Cross Bluesier (B Blue, Aetna/Human, Cagney/Headfirst, CSR); Human/United Healthcare; Ballpoint (Human) What qualifies this form for California Exclusion? The employer-sponsored health coverage is available and is a qualified employer sponsored coverage that meets all the following conditions: • It is not less than minimum essential coverage • It is affordable • It does not impose the requirements of the ACA or of the State Plan for Health Coverage (SPEC); and • It was offered to you, and you made reasonable use of the coverage. This includes: • For a family of 3 or more individuals who are not eligible for CHIP, it is not less than minimum essential coverage, where the requirement is satisfied by the coverage under the policy Is this form for children under 26? Yes, this form must be used for the tax year for which it is filed. If you file it in any other year, your employer needs to file a Form W-2-1095-A to receive your refund. If you used up all of your health coverage before 2018, you should file this form and claim the amount of health coverage that you use in 2018. Also see the new FAQ section from September 2017: Q. Which health carriers use this form? (What is an “Employer Sponsored Coverage Plan”) A. All Health Carriers. (This information was sent to all of them in February 2018.) An employee covered by an employer-sponsored plan is considered a “qualifying employee” (HE) if the employee: 1. Is an eligible individual covered by the coverage purchased, 2. Is not eligible for a premium tax credit because of the following: a) His or her filing status, 3. The age of the individual, 4. The number of individuals with whom the individual is enrolled in the plan, or 5. The number of individuals with whom the individual is enrolled in any other health coverage the individual is eligible for.

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