Health care coverage

IRS Form 1095-B for Certain Medical Assistance and MinnesotaCare Enrollees

The information on this page is about the Internal Revenue Service (IRS) Form 1095-B, Health Coverage, which began in 2016 for tax year 2015. 

  • You do not need the form 1095-B to complete an income tax return.
  • IRS form 1095-B is available upon request only. We will not automatically send the form.
  • Follow the instructions on this page to request your 1095-B for any tax year beginning with 2015.

For tax year 2025, forms will be available after February 1, 2026, and DHS will mail it to you within 30 days of your request. If you have any questions, contact Health Care Consumer Support at 651-297-3862 or toll free at 800-657-3672.

How to request a copy of your form 1095-B

If you or members of your family were enrolled in Medical Assistance or MinnesotaCare, you may request a printed copy of your form 1095-B in these ways:

  1. Enrollees with eligibility in MNsure who have an online account, can view and print their form from their online account.

  2. Request the form by one of the following:

Email disclaimer: Unsecured emails may have a small privacy risk, and if this is a concern to you, use one of the other options instead.

What you need to request a 1095-B

You must include the following information when making a request. If you do not have all the required information, DHS may not be able to mail the form to you. If you need help, call 651-297-3862 or toll free 800-657-3672 to make the request and a representative will assist you.

  • Requester’s first name and last name
  • Address to mail the form
  • Telephone number
  • Date of birth
  • Case number
  • Names of family members requesting a form 1095-B
  • Form 1095-B tax year being requested

Answers to questions about form 1095-B

What is IRS form 1095-B?

Beginning with tax year 2015, the Form 1095-B was created to provide information about individuals in your household (yourself, spouse and dependents) who had minimum essential coverage for some or all months during the year. Certain Medical Assistance and MinnesotaCare coverage are considered minimum essential coverage.

The Affordable Care Act requires you to have qualifying health care coverage (also known as minimum essential coverage). However, beginning in 2019, the individual shared responsibility payment was reduced to $0.

Form 1095-B relates to coverage provided through certain Medical Assistance or MinnesotaCare during a tax year. You may get other health care tax documents, such as form 1095-A and form 1095-C, from other entities offering health care. For more information about form 1095-A, see MNsure's IRS Form 1095-A page.

What information is on form 1095 B?

Form 1095-B (PDF) contains information about you and the number of months you and your family had health care coverage during a tax year. The form has four parts:

  • Part I identifies the responsible individual. (This is usually the primary applicant for Medical Assistance or MinnesotaCare coverage.)
  • Part II is information about certain employer-sponsored coverage. For a form 1095-B from DHS, this section will be blank.
  • Part III identifies the issuer or other coverage provider. For a form 1095-B from DHS, the information in this section will be about DHS.
  • Part IV lists the covered individuals and shows how many months of coverage each person had:
    • If a listed person had coverage for all 12 months of 2025, the "Covered all 12 months" box is checked.
    • If a listed person had coverage for only some months of 2025, the box for each month the person had coverage is checked. For example, if the person was covered for January, February and March of 2025, the "January," "February" and "March" boxes are checked.

The back of the form has more information.

Note: We send the information on your form 1095-B to the IRS. For each person in your household, make sure the name and Social Security number (SSN) on form 1095-B match what is listed on the person’s Social Security card. We will send corrections you report to us to the IRS.

What do I do with form 1095-B?

Beginning with tax year 2019, you do not need the form 1095-B to complete an income tax return. The form is available for informational purposes only.

Check IRS.gov and the form 1040 instructions to determine whether you must file a federal income tax return.

How much is the individual shared responsibility payment?

Beginning in 2019, the individual shared responsibility payment was reduced to $0.

What should I do if I believe the information on my form 1095-B is incorrect?

If you believe the information on form 1095-B is incorrect, you may contact the servicing agency listed on the cover letter that you got with the form. If you have MinnesotaCare, call the DHS Health Care Consumer Support at 651-297-3862 or 800-657-3672.

Can I see a copy of my form 1095-B in my MNsure account?

Yes. If you have an online MNsure account, you will be able to view your form 1095-B through your account. The form will be available on the My Notifications tab. It may be labeled "Form 1095-B" or "Health Care Eligibility Notice."

If you do not see a copy of your form on the My Notifications tab, that means that an electronic copy of the form has not yet been created.

Where can I get more information about the individual shared responsibility penalty and IRS form 1095-B, Health Coverage?

You can find more information about form 1095-B on the back of the form, under Instructions for Recipient. You can also find more information on the following IRS page: Questions and Answers about Health Care Information Forms for Individuals (Forms 1095-A, 1095-B, and 1095-C).

If you want to learn more about the change in the individual shared responsibility payment, see this IRS.gov page.