News from the Blues

Jan. 22, 2025

1095 Forms Update; FAQs Included
Applies to fully insured groups, Individual & Family Markets

Blue Cross and Blue Shield of Texas 1095-B forms are now available on Blue Access for Members^SM. Members can also request a paper form by calling the number on their member ID card or visiting our web page.

If you have questions about 1095 forms or reporting, please check our 1095 Guide/FAQs below.

Q: What are the different types of 1095 forms and reports?
A: Please see below.

Q: Does BCBSTX mail 1095-B forms?
A: The Internal Revenue Service doesn’t require insurers to automatically mail 1095-B forms to members, so we don’t mail forms unless a member requests a copy. We can only mail forms to individual members upon request; we’re not able to print forms for an entire group.

Q: Does BCBSTX handle 1095-B reporting for other states?
A: For Fully Insured groups, we file forms with states that require 1095-B reporting, and we print and mail the forms to their members. This includes Vermont, Washington, D.C., New Jersey, Rhode Island and California. Note: We don’t provide additional information for members to verify their coverage beyond these forms, per their state requirements.

1. ASO groups use it to report on their employees’ minimum essential coverage. ASO groups are responsible for sending the 1095-C forms to members. BCBSTX wouldn’t have the necessary data.
2. Applicable Large Group employers – both Fully Insured and ASO groups – are required by the IRS to report who they offered coverage to, which BCBSTX would not know.
• Reminder: Groups should check with their tax counsel to see if 1095-C reporting applies to them. Groups that have recently changed their number of employees may want to confirm if they meet the IRS definition of Applicable Large Employer.