Chip 1095-B Tax Form Frequently Asked Questions (Page 2 of 3) in pdf

If my child had Medical Assistance for a portion of the year and CHIP for a portion of the year, will I

receive two forms?

Yes – you will receive a 1095-B form for each type of insurance that you received. So, if your child had

Medical Assistance and CHIP in the same year, you will receive a form from the Department of Human

Services showing the Medical Assistance coverage and a separate form from CHIP showing the CHIP

coverage.

What if my children had insurance with CHIP for a portion of the year and they had private health

insurance for a portion of the tax year?

The 1095-B form that CHIP will send you shows only the months that your child had CHIP coverage. If

your children had other insurance coverage for a portion of the year, it is important that you reach out

to that insurance provider with any questions or if you need to replace the 1095-B form from that

insurance provider. Your CHIP insurance provider will not have access to other health insurance

information or be able to answer questions about their information.

What if there are changes in my CHIP coverage?

Sometimes, your CHIP coverage that you had in the previous year may change. For example, you

applied for CHIP coverage and the coverage began in January. After your coverage begins, you find that

you had a medical bill in December of the previous year that you would like covered. In some instances,

the CHIP health insurance provider will go back and authorize CHIP coverage for December. If this

occurs after you receive your 1095-B form in January, you will then receive a corrected 1095-B form to

show the additional coverage. This corrected form will also be sent to the IRS.

I lost my 1095-B form. How can I get a copy?

You can go to

https://

to obtain a copy of the

most current 1095-B form. Or, you can call 1-800-986-KIDS (5437) to obtain a copy. Your CHIP health

insurance provider cannot get a copy of the form.

What if I have questions that are not answered here?

The best source for information regarding the 1095-B form and information about the Affordable Care

Act is your tax advisor or the IRS website at:

https://

(click on

“Individuals & Families” for help as an individual). For additional information regarding the 1095-B form,

you may also refer to the IRS publication found at this site:

https://

prior/i109495b--2015.pdf.

Chip 1095-B Tax Form Frequently Asked Questions Page 2