# Form 1095-B

URL: https://pdf.net/pdf-forms/tax-forms/form-1095-b
Category: Tax Forms
Attributes: Official IRS form, Trusted by accountants, Filled annually

Form 1095-B is used to report information about individuals covered by minimum essential health coverage to the IRS.

Our editable Form 1095-B is easy to fill out online. Just insert the required information and download it to your device.

## Versions

- 2025 — [download PDF](https://cdn.sanity.io/files/i16te7yp/production/cd36350870ec635bfa68ac50535f24db0bb6ce2a.pdf)

## How to Fill Out Form 1095-B

1. Open Form 1095-B in our PDF editor.
2. Complete the information about the responsible individual.
3. Fill out Parts II and III according to the Form 1095-B instructions.
4. Provide information about the coverage for each covered individual.
5. Attach a Form 1094-B and submit both documents to the IRS.

## Facts

### What Is Form 1095-B Used For?

Form 1095-B is used to report information about individuals covered by minimum essential coverage to the IRS. This type of coverage encompasses government-sponsored programs (Medicare, Medicaid, TRICARE), eligible employer-sponsored programs, individual market plans, and more.

### Who Should Use Form 1095-B?

Form 1095-B should be used by every person or entity that provides minimum essential coverage to an individual during a calendar year. That includes insurers, small employers, and government programs like the ones listed above. If an employer has 50 or more employees, it is treated as an Applicable Large Employer (ALE) and must file Form 1095-C instead.

### When Is Form 1095-B Due?

Form 1095-B is due by February 28th if filing on paper or March 31st if submitting electronically. If these dates fall on a weekend or a federal holiday, they are moved to the next business day. Furthermore, insurers must furnish a copy of Form 1095-B to each covered individual by March 2nd every year.

### What Happens If Form 1095-B Is Not Submitted?

If Form 1095-B isn’t submitted, you may be facing two penalties: failure to file a correct information return and failure to provide a correct payee statement. Both of these penalties are $340 per return, with a maximum of $4,098,500. However, the penalty increases to $680 if intentional disregard is established.

### How and Where Do I File Form 1095-B?

You should file Form 1095-B with the IRS, either by submitting it to one of the addresses provided on the official website or sending it electronically. Remember that you need to file Form 1094-B along with it as a transmittal form.

## Related forms

- [1095-C Form](https://pdf.net/pdf-forms/tax-forms/1095-c-form)
- [Form 8962](https://pdf.net/pdf-forms/tax-forms/8962-form)
- [1040 Form](https://pdf.net/pdf-forms/tax-forms/1040-form)
- [Schedule A (Form 1040)](https://pdf.net/pdf-forms/tax-forms/schedule-a-form-1040)
- [Form 4868](https://pdf.net/pdf-forms/tax-forms/form-4868)