After February 1, 2024, individuals who had Medical Assistance (MA) or MinnesotaCare coverage in 2023 can request Tax Form 1095-B as outlined in the options listed in this message.

The IRS Tax Form 1095-B is an informational form only. Enrollees do not need the form to file a 2022 federal tax return and do not need to attach the form to their tax return.

The following options continue to be available to enrollees who want a copy of their Form 1095-B:

• Enrollees with eligibility in METS who have an online account can view and print a copy from their online account.
• Request a copy by:
  • Submit request electronically online: 1095-B Request
  • Phone: 651-297-3862 or toll free 800-657-3672
  • Mail: DHS – HCCS PO Box 64252, St Paul, MN 55164-0252
  • Email: DHS.HCEO.ReprintRequests@state.mn.us 

Find the information, including the link to the online web form, on the DHS public webpage about form 1095-B.

The following information is required when making a request:

• Requester’s first name and last name
• Address to mail the form.
• Telephone number
• Date of birth
• Case number
• Names of family members requesting a Form 1095-B
• Form 1095-B tax year requested.

Enrollees who have changes to their 2023 Medical Assistance and MinnesotaCare coverage after January 02, 2024, will also have a corrected form available online. The corrected Form 1095-B will be available after February 1, 2024. The agency responsible for the case will be responsible for processing the correction when consumers report an error on their form.

For more information, see the form /assets/ONESOURCE-120409_Form-1095-B-FAQ-Navigators%20TY%202023_tcm34-607219.docx1095-B FAQ and the DHS public webpage about Form 1095-B for tax year 2023.