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Form 1095-B

What is Form 1095-B?

Form 1095-B is used to report information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage.

You are not required to include a copy of Form 1095-B when filing your tax return.


What's New?

Health insurers are no longer required to send Form 1095-B to members.

However, if you still want a copy of Form 1095-B for your records, CDPHP has made it easy to access.


Download or print Form 1095-B (recommended)

This is the fastest and most secure way to receive Form 1095-B. 

Your 1095-B form will be available in your CDPHP member account by March 1, 2024.


Request a Form 1095-B by mail

We will mail your Form 1095-B within 30 days if you submit your request via postal mail.

Please include: 

  • Name

  • Address

  • Employer Name (if coverage is through an employer)

  • Subscriber ID

  • Coverage year start and end date

Please clearly indicate this is a request for Form 1095-B and mail it to:

Attention: Membership and Billing – 1095-B
500 Patroon Creek Blvd.
Albany, NY 12206


Call to obtain Form 1095-B

You can call CDPHP to request a copy of Form 1095-B. (May take up to 30 days to receive)