ForwardHealth Community Partners

Updates for local agencies, community-based organizations, and providers who provide assistance to members of Wisconsin's health and nutrition public assistance programs.

1095-B Tax Forms By Request Only for Wisconsin Department of Health Services Programs

The Wisconsin Department of Health Services (DHS) will not automatically send 2021 IRS 1095-B tax forms to members who had minimum essential coverage from a Wisconsin health care program, such as BadgerCare Plus or Medicaid. Since there is no federal penalty or fine for not having health insurance, tax filers do not need to furnish proof of insurance coverage.

However, members may want a copy of their 1095-B form to keep with their tax records. They can request a copy by:

• Calling the Wisconsin 1095-B tax form assistance line at 866-667-9419
• Emailing ForwardHealth Member Services
• Sending a letter to Member Services 1095-B, 313 Blettner Blvd., Madison, WI, 53714
• Going to their income maintenance or tribal agency

When requesting a form, members need to provide:

• Their full name
• The full name of the member whose form is being requested (if different from the person requesting the form, such as a parent requesting a child’s form)
• The member’s 10-digit ForwardHealth ID number, Social Security number, or case number
• The member’s date of birth
• The mailing address where we should send the form

If the member does not provide all of this information, DHS may not be able to send a copy of the 1095-B form.

Please do not respond to this email. The email box is not monitored and you will not receive a personal response. You are receiving this notification because you have asked to be added to the ForwardHealth Partners information list. For questions, please contact DHS ForwardHealth Partners. Thank you.