The Plan has elected not to send IRS Form 1095-B (“Health Coverage”) for the 2020 tax year, as permitted by IRS Notice 2020-76.  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    or

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

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, (3) the address you would like the form sent to and (4) the phone number we can call if we have any questions.  Please allow up to 30 days for response.

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