IRS FORM 1095-B Frequently Asked Questions

South Carolina Healthy Connections will provide beneficiaries with IRS Form 1095-B in late January. If you do not find an answer to your question, please call 844-730-4003 to speak to a representative.

Q. Why did I receive a tax form from SC Healthy Connections Medicaid?
A. The Affordable Care Act (ACA) requires health coverage providers, including Medicaid, to report certain information to the IRS. ACA requires most Americans to have health coverage that meets Minimum Essential Coverage (MEC). The tax form you received, Form 1095-B, represents health coverage for your Medicaid household for the 2017 tax year. You, your spouse, and/or one or more of your dependents were enrolled in Medicaid for at least part of one month of the previous calendar year. Even if you were not enrolled in Medicaid, you may be a taxpayer claiming a personal exemption for one or more covered individuals.

South Carolina Healthy Connections reports your household’s months of coverage directly to the IRS on your behalf and sends you a copy of the 1095-B for your records.

We furnish the statement to the primary contact or responsible individual on your Medicaid case. You may receive additional 1095-B forms from more than one provider if you or someone in your family changed coverage providers in 2017.

To learn more about this form, MEC, and other ACA requirements, please visit IRS.gov/aca or call the IRS at (800) 829-1040.

Q. What do I need to do with the form?
A. If you are required to file taxes, IRS tax forms or online tax software will ask if you had health coverage in 2017. You or your tax preparer can use information provided on the Form 1095-B to complete your tax return. You do not need to send a copy of the form to the IRS; simply keep it with your other tax records.

Q. What does the information on Form 1095-B mean?
A. Part I lists information about the primary contact or responsible individual for your Medicaid household. Part II is intentionally left blank, since it does not pertain to Medicaid. Part III lists information about South Carolina Healthy Connections Medicaid, your health coverage provider. Part IV lists information about the members of your household who received health coverage from Medicaid and the months the coverage was provided.

Q. This information doesn’t look correct, how can I get it changed?
A. If your information isn’t correct, please call 844-730-4003. We will send you a corrected version of the form and correct the information with the IRS.

Q. I received Form 1095-B from 2015 or 2016 with a box marked “Corrected.” What does that mean?
A. If changes occurred that affect our previous reports to the IRS (for example: changes to your name, Social Security Number, or dates of Medicaid coverage), we correct that data with the IRS and send you a corrected form for that tax year. Again, you do not have to do anything with the form or send it to the IRS.

Q. I did not receive a Form 1095-B, how can I get the form or the information I need?
A. Call 844-730-4003 and we will assist you.

Q. How do I get another copy of my Form 1095-B?
A. Call 844-730-4003 and we will assist you.

Q. Since Congress repealed penalties associated with the “Individual Mandate” do I still need to report my health coverage on this year’s tax return?
A. Yes, you must report all health coverage for tax year 2017, or the IRS will consider your filing as incomplete. Please call the IRS at (800) 829-1040 for more information.

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