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 (801) 904-4897 or at Toll Free (888) 867-9510.

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS

NOTICE OF RIGHT TO REQUEST TAX NOTIFICATION FORM 1095-B

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 a copy of their Form 1095-B by:

Email to: 1095Bhelp@benesys.com

Calling: (801) 904-4897 between 8:00 AM and 4:30 PM EST

Mail to:
BeneSys, Inc.
7180 Koll Center Parkway, Ste. 200
Pleasanton, CA 94566
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 (801) 904-4897 or (888) 867-9510 with any questions about Form 1095-B.