If you or a family member enrolled in Qualified Health Plans (QHP) purchased through NY State of Health at the Bronze, Silver, Gold and Platinum levels for all or part of the year you will need Form 1095-A to complete your federal tax return.
Watch this video on how to access and use your 1095-A or you can view the 1095-A Support Topic.
Form 1095-B is available by request for consumers who, were enrolled in Medicaid, Child Health Plus or EP during the past year. Please contact NY State of Health to request a Form 1095-B.
- Phone: 1-800-541-2831
- E-mail: 1095B@health.ny.gov
- Mail: NY State of Health P.O. Box 11774, Albany, NY 12211