Breadcrumb

UNI-GLO-1095B Hero Image

GLO-1095B Main Content

What is Form 1095-B?

The Form 1095-B is used to report certain information to the IRS and to taxpayers about individuals who are covered by minimum essential coverage.

Taxpayers are not required to include a Form 1095-B when filing their taxes; in fact, you should not attach a Form 1095-B with your tax return.

What's New?

Health insurers are no longer required to mail Form 1095-B to their members. If you do want a copy of your Form 1095-B for your records, however, Excellus BlueCross BlueShieldUnivera Healthcare is providing four different methods for you to do so:


Still want to receive your form? Here's how you can get it:

Asset Publisher

Request a Form 1095-B by Email

We will email your Form 1095-B within 30 days if you submit your request via our secure email contact form and clearly indicate this is a request for the Form 1095-B.

Email Contact Form

Request a Form 1095-B by mail

We will mail your Form 1095-B within 30 days if you submit your request via postal mail.

Please include: Your Name, Name of Employer: (if coverage is through an employer), Subscriber ID, Your Address, Coverage Year Start and End Date and clearly indicate this is a request for the Form 1095-B and mail it to:

P.O. Box 21146 Eagan, MN 55121-0146
Attn: Form 1095-B Request

Call us to obtain a Form 1095-B

(May take up to 30 days to receive)

For more information on how to request a Form 1095-B by phone, call the number below.

Call: 1-877-889-7182