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
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.
Within this website, you will now have access 24 hours a day, 7 days a week to commonly requested forms, useful highlighted links, and frequently asked questions regarding your benefit information. As always, please feel free to contact the Benefit Fund Office at (800) 572-2525.
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