1095 Forms
- Admin
- Feb 2
- 2 min read
Blue Cross Blue Shield of Oklahoma 1095-B forms are available now in Blue Access for Members for all employees on a fully-insured group medical plan. Members can also request a paper form by calling the number on their ID card or by visiting the BCBS Help Center.
Please see the FAQs below:
What are the different types of 1095 forms and reports?
What is it? | Who sends it? | Who gets it? | What does it say? |
1095-A Form | Health Insurance Marketplace | Marketplace Individual/Family plan members | Numbers of months the subscriber/dependents had Minimum Essential Coverage |
1095-A Report | Health Insurance Marketplace | IRS | Who had Minimum Essential Coverage & for how many months |
1095-B Form | Health Insurer | Fully insured members & off-exchange Individual/Family Members | Number of months the subscriber/dependents had Minimum Essential Coverage |
1095-B Report | Health Insurer (via the 1094-B electronic transmittal) | IRS | Who had Minimum Essential Coverage & for how many months |
1095-C Form | Self-Funded group (NOT BCBSOK) | Self-Funded members | Number of months the subscriber/dependents had Minimum Essential Coverage |
1095-C Form | Applicable Large Employer (not BCBSOK) | Applicable Large Employer health plan members | Number of months the employee was OFFERED Minimum Essential Coverage |
1095-C Report | Self-Funded Group via the 1094-C transmittal form | IRS | Who had Minimum Essential Coverage & for how many months |
1095-C Report | Applicable Large Employer- Self-Funded AND Fully Insured | IRS | Who was OFFERED Minimum Essential Coverage & for how many months |
Does BCBSOK mail 1095-B forms?
The IRS no longer requires insurers to automatically mail 1095-B forms to members. However, a member may request a copy of their form be mailed to them. BCBSOK only mails forms to individual members upon request and is not able to print forms for an entire group.
Why doesn't BCBSOK handle 1095-C reports for groups?
1095-C reporting is used for 2 purposes:
Self-funded groups use it to report on their employees' minimum essential coverage, and they are responsible for sending the 1095-C forms to their employees. BCBSOK does not have the necessary data.
Applicable Large Group employers-both Fully Insured and Self-funded groups-are required by the IRS to report who they OFFERED coverage to, which BCBSOK does not know.
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