Do I need to submit Form 1095‑B with my tax return?

If you file electronically, the IRS receives the information directly from the insurer, so you don’t need to attach it. For paper returns, include a printed copy.

Can I use the same Form 1095‑B for multiple tax years?

No. Each form is specific to a tax year. Use the version that matches the year you are filing.

What if my insurer didn’t send me Form 1095‑B?

Contact your health insurance provider and request a copy. You can also request a duplicate from the IRS by calling the toll‑free number.

Is the Formize fillable PDF secure?

Yes. All data is processed locally in your browser and never stored on our servers unless you choose to save it.

Do I need Adobe Acrobat to fill out the form?

No. Formize’s online filler works in any modern browser—no additional software required.

What if I make a mistake after saving?

Open the saved PDF again with Formize, correct the fields, and re‑save. The original file can be overwritten or saved as a new version.

Are there penalties for not having proof of coverage?

For tax years 2019 onward, the individual shared‑responsibility penalty was eliminated, but insurers still must provide Form 1095‑B for record‑keeping.

Can I fill out Form 1095‑B on a mobile device?

Yes. The Formize filler is mobile‑responsive and works on smartphones and tablets.

IRS Form 1095‑B – Proof of Health Insurance (Fillable PDF)

Fill out this form

Create Web Form

IRS Form 1095‑B – Proof of Health Insurance (Fillable PDF)

Form 1095‑B is the official IRS document that proves you had qualifying health coverage for the tax year. It is used to verify compliance with the Affordable Care Act and to avoid the individual shared‑responsibility penalty.

What Is IRS Form 1095‑B?

The form is issued by health insurers, government programs (like Medicaid or CHIP), or employers who provide self‑insured coverage. It lists the months you were covered, the type of coverage, and the individual's name and Social Security number.

Why You Need a Fillable PDF Version

Traditional scanned PDFs require a separate editor, which can be slow and error‑prone. Our Formize fillable PDF loads directly in your browser, letting you type, select dates, and save without installing any software.

How to Complete the Form with Formize

Follow the simple steps below – you won’t need to download, print, or scan anything.

Common Mistakes to Avoid

Leaving the Social Security Number field blank or entering an incorrect number.
Using the wrong tax year (the form is year‑specific).
Skipping the signature line – an unsigned form is rejected by the IRS.
Entering dates in the wrong format (MM/DD/YYYY).

Where to Submit the Completed Form

Form 1095‑B is typically attached to your individual tax return (Form 1040) when filing electronically. If you file a paper return, include the PDF as a printed attachment.

Ready to start? Just click the button below and let Formize do the heavy lifting.

Instructions

Instructions for Forms 1094-B and 1095-B - Instructions for Forms 1094-B and 1095-B

Search tags

FAQ

Do I need to submit Form 1095‑B with my tax return?
If you file electronically, the IRS receives the information directly from the insurer, so you don’t need to attach it. For paper returns, include a printed copy.
Can I use the same Form 1095‑B for multiple tax years?
No. Each form is specific to a tax year. Use the version that matches the year you are filing.
What if my insurer didn’t send me Form 1095‑B?
Contact your health insurance provider and request a copy. You can also request a duplicate from the IRS by calling the toll‑free number.
Is the Formize fillable PDF secure?
Yes. All data is processed locally in your browser and never stored on our servers unless you choose to save it.
Do I need Adobe Acrobat to fill out the form?
No. Formize’s online filler works in any modern browser—no additional software required.
What if I make a mistake after saving?
Open the saved PDF again with Formize, correct the fields, and re‑save. The original file can be overwritten or saved as a new version.
Are there penalties for not having proof of coverage?
For tax years 2019 onward, the individual shared‑responsibility penalty was eliminated, but insurers still must provide Form 1095‑B for record‑keeping.
Can I fill out Form 1095‑B on a mobile device?
Yes. The Formize filler is mobile‑responsive and works on smartphones and tablets.

HOW TO

How to fill out IRS Form 1095-B for free, online in 5 easy steps:

1
Click the Fill‑out Button
Press the “Fill out this form” button on this page. The Formize PDF Filler app will open in a new browser tab.
2
Wait for the Filler to Load
The app loads the fillable version of Form 1095‑B. This usually takes a few seconds.
3
Enter Your Information
Type directly into each field—name, SSN, coverage months, and insurer details. Use the calendar picker for dates.
4
Review and Sign
Double‑check every entry, then add your electronic signature in the designated box.
5
Save or Export
Click “Save” to store the completed PDF in your device or cloud storage, or click “Download” to get a copy for your tax records.

ABOUT

Internal Revenue Service (IRS) Forms

IRS Form 1095-B is one of the official tax forms used in the United States to report income, claim deductions and credits, calculate tax liability, and fulfill other tax-related obligations. The IRS is the federal agency responsible for administering and enforcing the internal revenue laws in the United States.

Here are some examples of Internal Revenue Service forms:

Form 1040: This is the primary individual income tax return form used by most taxpayers. It is used to report various types of income, claim deductions and credits, calculate tax liability, and determine whether a taxpayer owes additional tax or is entitled to a refund.

Form 1099: There are different variations of Form 1099, such as 1099-MISC, 1099-INT, 1099-DIV, etc. These forms are used to report income received by individuals or businesses from various sources other than employment, such as self-employment income, interest income, dividend income, and rental income.

Form W-2: This form is used by employers to report wages paid to employees and the taxes withheld from their pay. Employees use the information on Form W-2 to complete their individual tax returns.

Form 941: Employers use this form to report employment taxes, including federal income tax withheld, Social Security tax, and Medicare tax, for their employees.

Form 1065: This form is used by partnerships to report their income, deductions, and tax liability. Partnerships themselves do not pay income tax; instead, the partners report their share of partnership income on their individual tax returns.

Form 1120: This is the corporate income tax return form used by C corporations to report their income, deductions, and tax liability.

Form 990: This form is used by tax-exempt organizations, such as nonprofits and charities, to report their financial information, activities, and compliance with tax laws.

Form 8862: This form is used by taxpayers who previously claimed the Earned Income Tax Credit (EITC) but had it disallowed, and now want to claim it again.

These are just a few examples of the numerous IRS forms that exist to fulfill various tax-related obligations. The specific forms required for an individual or business depend on their unique circumstances, income sources, and deductions. It's advisable to consult the official website of the Internal Revenue Service (www.irs.gov) or seek professional tax advice to obtain accurate and up-to-date information regarding the specific IRS forms relevant to your tax situation.

FEATURES

PDF Filler

The easiest way to fill IRS Form 1095-B online

Quickly fill out IRS Form 1095-B
Looking for a way to quickly fill IRS Form 1095-B online? With our online free PDF form filler, you’ll know how to how to edit and fill this pdf document in less than a minute.
Easy to use online PDF editor
Fed up with printing out PDF files so you can edit them, before rescanning and sending them back? Edit PDF documents for free online. Use our online pdf editor to save time and paper.
Great tools, all platforms
Wondering how to fill in IRS Form 1095-B on a Mac, or maybe how to use a PDF filler free? Our online PDF tools work on all platforms.
Secure file storage
Completed "IRS Form 1095-B" files are stored in a secured database managed by Amazon Cloud hosting. You can delete your files from our system anytime. In any case, these files are automatically deleted after 24 hours.
Chat with IRS Form 1095-B
Chat with "IRS Form 1095-B" on Chatize that is a free PDF reader assistant. Ask questions and get answers from "IRS Form 1095-B". Just click on Chat With Document button above.

Products

Docs

Websites

About