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Request a copy of your 1095-B tax form

Please contact us by email, mail, or phone.

If you live in California, the District of Columbia, Massachusetts, New Jersey, Rhode Island, or Vermont, the Health Plan will mail you a hard copy of form 1095-B for your tax return. If you live in another state, form 1095-B is no longer required as part of filing your tax return. Form 1095-B includes information about your health coverage, such as who was covered and the months when the coverage was in effect. It will be used for informational purposes only. The Health Plan will make your 1095-B available to you upon request.

To request a copy of a 1095-B you can use one of the following methods:

APWU Health Plan
Attention 1095-B
6514 Meadowridge Rd.
Suite 195
Elkridge, MD 21075

Note
For email or written requests, you must include the following information:

Your full name
Member ID
Date of birth
Email address
Home address
Whether you would prefer to receive the 1095-B by email or hard copy mailed to the home address indicated

Request a copy of your 1095-B tax form

To request a copy of a 1095-B you can use one of the following methods:

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