IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

NOTICE OF RIGHT TO REQUEST TAX NOTIFICATION FORM 1095-B

In accordance with IRS regulations, this notice is intended to provide you with information related to obtaining a copy of your IRS Form 1095-B from the Arizona Pipe Trades Health and Welfare Trust Fund (the “Plan”) if you have not already received one via U.S. mail.   Form 1095-B provides you with information about your healthcare coverage, including who was covered, and when the coverage was in effect.

The Plan has elected not to send IRS Form 1095-B (“Health Coverage”) for the 2025 tax year, in accordance with IRS regulations.  You do not need to file a Form 1095 with your federal tax return, but some members may need the form to comply with state reporting requirements.

Participants and beneficiaries may request that the Plan send a copy of their Form 1095-B to them via U.S. mail.   You may make this request by email, phone, or written request.  The Plan will mail you the form within 30 days of receiving your request. Please include your name and address in your request. The contact information to submit a request for Form 1095-B is:

Email to: 1095Bhelp@benesys.com

Calling: (602) 956-1950 between 8:00 AM and 5:00 PM MST

Mail to:
BeneSys, Inc.
3109 N 24^th Street, Suite 105

Phoenix AZ, 85016

ATTN: 1095-B Requests

Your request MUST include: (1) your Plan’s name, (2) the particpant’s name, (3) your name if you are not the primary participant, (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 (602) 956-1950 with any questions about Form 1095-B.

NOTICE OF PRIVACY PRACTICES

You can access the Notice of Privacy Practices, effective February 16, 2026 here.