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

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.

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 2022, the "Covered all 12 months" box is checked.
  • If a listed person had coverage for only some months of 2022, the box for each month the person had coverage is checked. For example, if the person was covered for January, February and March of 2022, 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.

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.

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

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.

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.

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.