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IMPORTANT HEALTH COVERATE TAX DOCUMENTS 

NOTICE OF RIGHTS TO REQUEST TAX NOTIFICATION FORM 1095-B

The Plan has elected not to mail IRS Form 1095-B ("Health Coverage") for the 2023 tax year. You do not need to file a 1095 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: bacfund@bricklayers.org

Calling (248) 828-6000

Mail to: 

BAC of Michigan Health and Welfare Fund

P.O. Box 99490

Troy, MI 48099-9490

ATTN: 1095-B Requests

Your request MUST include: (1) your Plan's name, (2) the members 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) 828-6000 with any questions about Form 1095-B.