After February 1, 2025, individuals who had Medical Assistance (MA) or MinnesotaCare coverage in 2024 can request Form 1095-B. 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:
  • Submit request electronically online: 1095-B Request (DHS-8071)
  • Phone: call 651-297-3862 or toll free 800-657-3672
  • Mail a written request to: DHS – HCCS, PO Box 64252, St. Paul, MN 55164-0252
  • Email: DHS.HCEO.ReprintRequests@state.mn.us

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 being requested

For more information, see the DHS public webpage about Form 1095-B for tax year 2024.