Request a copy of your 1095-B tax form

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:

1. Email the Health Plan at custserv@apwuhp.com.

2. Send your request in writing to the following address:

   APWU Health Plan
   Attention 1095-B
   P.O. Box 1358
   Glen Burnie, MD, 21061-1358

3. Contact the Health Plan by telephone at 1-800-222-APWU.

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