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Individuals and Families: Sign up for health insurance by December 15 for coverage that begins January 1, 2018. Open Enrollment ends January 31, 2018.
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Individual and Family Health Insurance

Which Tax Forms Do I Need?

Use this tool to find out which tax forms you need and who will send them to you.

What type of coverage did you and your family have in 2015 through DC Health Link? Check all that apply.
  • Medicaid (Amerihealth, MedStar, Trusted, or DC Medicaid)
  • Coverage offered by my employer through DC Health Link
  • Coverage I paid for myself
What type of plan were you enrolled in? Check all that apply.
  • A regular, non-catastrophic health plan  
  • A catastrophic health plan  
  • A dental plan

Medicaid

Form 1095-B is an IRS Form. You will receive your Form 1095-B in the mail in February.

Form 1095-B is an Internal Revenue Service (IRS) tax document that includes information about the health coverage provided for one or more months during the year to a beneficiary, beneficiary's spouse, and individuals the beneficiary can claim as dependents. Form 1095-B shows how long you had healthcare coverage through DC Medicaid in 2015.

As a Provider of Minimum Essential Coverage (MEC) through Medicaid, the District of Columbia Department of Health Care Finance (DHCF) is required to file Form 1095-B with the IRS. DHCF is required to report covered individuals who had Medicaid or Children's Health Insurance Program (CHIP) coverage during the year, and to provide a copy of the Form 1095-B to covered individuals (beneficiaries of Medicaid and CHIP in 2015).

Beginning in February, you can access your form online.

If you receive Form 1095-B from DHCF, review to make sure that the information is correct. Check the name, Social Security Number (if shown), date of birth, and covered months.

If the information is correct, keep Form 1095-B with your records. You do not need to attach the form to your income tax return.

If the information is not correct on your form 1095-B please complete, sign and submit the 1095-B Correction Request Form.

Submit the 1095-B Correction Request Form to the 1095-B Processing Unit to request a correction.

Email

Send your completed 1095-B correction request form by email.

Phone

(855) 532-5465
TTY DIAL 711

Mail

Department of Human Services
Economic Security Administration
Form 1095-B Processing Unit
645 H Street NE, 4th Floor
Washington, DC 20077-0555

In Person

Visit one of our ESA Service Centers

If you had employer-sponsored health insurance coverage through DC Health Link

You will receive Form 1095-B from your health insurance company. Please contact your health insurance company if you need assistance with Form 1095-B:

  • United Healthcare: (877) 856-2430
  • Kaiser: (800) 777-7902
  • Aetna: (855) 586-6960
  • CareFirst: (855) 444-3119

You will not receive any tax forms from DC Health Link for coverage provided by your employer.

If your employer has more than 50 full-time employees, your will also get a Form 1095-C from your employer with details of your 2015 health insurance coverage. If you have questions about your Form 1095-C, please contact your employer.

Individual and family coverage

If you had individual private health insurance through DC Health Link during 2015, you will receive a form called Form 1095-A. This form shows how long you had individual (or family) health insurance through DC Health Link in 2015. This form will also show any premium reductions you received. You will need this form for your personal income tax filing. A copy of the Form 1095-A will be mailed at the end of January. You can also download a copy of your Form 1095-A below and locate other helpful resources.

Dental coverage only

You will not receive any tax forms from DC Health Link for your dental coverage. The Form 1095-A is for plans that qualify for the premium tax credit. Dental plans do not qualify for the premium tax credit.

Catastrophic plan

You will not receive any tax forms from DC Health Link for your catastrophic health plan. The Form 1095-A is for plans that qualify for the premium tax credit. Catastrophic plans do not qualify for the premium tax credit. Dental plans also do not qualify for the premium tax credit.