Form 1095-C, Employer-Provided Health Insurance Offer and Coverage

Cook County, Illinois sent this bulletin at 02/24/2023 08:00 AM CST

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Risk Management | February 24, 2023
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Form 1095-C, Employer-Provided Health Insurance Offer and Coverage, will be mailed to the home address of employees who had County health benefit coverage during 2022.

Blue Cross Blue Shield of Illinois is no longer mailing 1095-B forms to employees with HMO coverage. To obtain a copy of your BCBSIL 1095-B form, you can choose one of the following options:

  1. Phone: Call the number on the back of your BCBSIL member ID card to ask for your Form 1095-B. If you can’t find this number, you can also call 1-855-710-6984
  2. Mail (Please allow up to 30 days): Print and fill out the 1095-B Request Form, then mail it to: Blue Cross and Blue Shield of Illinois, c/o 1095-B Form Request, PO Box 660044, Dallas, TX 75266-0044
  1. Email: Fill out a 1095-B Request Form, then attach the completed form to an email message. Please send your email to Form1095B@bcbsil.com
  1. Blue Access for Members (BAM) Sign up or log in to BAM, then visit the Contact Us page

For additional information, see https://www.irs.gov/Affordable-Care-Act/Questions-and-Answers-about-Health-Care-Information-Forms-for-Individuals.

Please click here to view the fact sheet for more information.