NOTICE OF RIGHT TO REQUEST TAX NOTIFICATION FORM 1095-B

The Plan has elected not to send IRS Form 1095-B (“Health Coverage”) for the 2019 tax year, as permitted by IRS Notice 2019-63. You do not need to file the form with your federal tax return, but some members may need the form to comply with state reporting requirements. Members and beneficiaries may request for a copy of their Form 1095-B by:

Email to 1095Bhelp@benesys.com

Calling (248) 641-4978 between 7:00 AM and 4:00 PM EST

Mail to:
BeneSys, Inc.
700 Tower Drive, Suite 300
Troy, MI 48098-2808
ATTN: 1095-B Requests

Your request MUST include: (1) your Plan’s name, (2) the member’s name, (3) your name if you are not the primary member, (4) the address you would like the form sent to and (5) the phone number we can call if we have any questions.

Please call (248) 641-4978 with any questions about Form 1095-B.

The Trustees of the Arizona Pipe Trades Health, Pension and Defined Contributions plan are offering an opportunity for the participants to join them in their efforts to save approximately $220,000 annually by going paperless. To start receiving all SPD's, Plan Documents, correspondence, etc. electronically click here, complete the form and return it to the Administrative Office at 3121 N. 24th, Phoenix, AZ 85016 or call 1.877.429.7473. Please note that electing to go paperless is not mandatory, but rather an option provided to Particpants for convenience.

Click here for Notice of Nondiscrimination