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IRS Form 1095 B Information

IRS Form 1095-B is an annual statement that your health insurance provider must provide to each policy holder upon request.

You could receive an IRS Form 1095-B from the state if, during any month of the year, you either enrolled in coverage you paid for in full or had access to your Minnesota State Retirement System (MSRS) health care savings plan (HCSP) account. 

The 1095-B forms can be requested after March 2, 2020 by contacting Minnesota Management and Budget. Use our convenient online form, send us a request by mail, or call us at 651-355-0100. .

IF YOU ARE AN ACTIVE STATE EMPLOYEE OR RECEIVED AN EMPLOYER CONTRIBUTION TO YOUR RETIREE COVERAGE DURING ANY MONTH OF THE YEAR YOU WILL RECEIVE AN IRS FORM 1095-C.

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