Information for tax filings | Tufts Health Plan (2024)

Tax forms overview

Form 1099-HC

This form is for plan members who file Massachusetts state taxes. Form 1099-HC:

  • Serves as proof of health insurance coverage for Massachusetts residents age 18 and older
  • Indicates the minimum creditable coverage you had in 2023
  • Will allow you to complete Massachusetts Schedule HC when filing your state income tax return

Tufts Health Plan has provided the information on Form 1099-HC to the Massachusetts Department of Revenue (DOR).

Form 1095-B

This form is a document that provides you with proof of insurance required under the Affordable Care Act (ACA). This form is for your information only. You no longer have to file information from Form 1095-B on your federal tax return. Please keep a copy for your records.

2023 tax forms will be mailed to you by
January 31, 2024

Additional copies will be available for download directly from your member portal account starting on January 6, 2024. Log in to the secure member portal for more information.

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Frequently Asked Questions (FAQs)

Yes, if you are filing a paper tax return with the MassachusettsDOR. If you're filing electronically, you don't need to submit the form, but you should keep a copy with your tax records.

Your tax preparer will need the following information from Form 1099-HC:

  • Insurance company name
  • Insurance company federal tax ID number
  • Subscriber ID number

Form 1099-HC serves as proof of health insurance coverage for Massachusetts residents age 18 and older. This proof of coverage is required for Massachusetts state income tax filing.You may be subject to a financial penalty for any month that you or anyone in your family does not have minimum creditable coverage.

No. You need this form only if you're filing a Massachusetts tax form for 2023. You can disregard this information otherwise.

Yes,if you changed insurance companiesduring the year, or if you had coverage under more than one plan. You'll need all of your forms in order to prepare Schedule HC for your Massachusetts tax return.

There could be several reasons why your health care coverage was noncompliant. You can check with your employer to find out if part of your overall plan may not have complied with Minimum Creditable Coverage standards.

If you haven’t received a Form 1099-HC from us and believe you should have, log in tomytuftshealthplan.comto view and print Form MA 1099-HC for yourself and yourcovered dependents. If the form is unavailable online, please contact Member Services at the number on your ID card.

We send only one copy of Form 1099-HC to the plan subscriber. You can make a copy for any dependent who lives at the same address and requires proof of coverage. If you have a dependent who lives at a separate Massachusetts address, we’ll send a 1099-HC to that dependent’s address.

Please note: Dependents should use their individual member number, including the two digits after the dash, when filing their taxes. The member number is listed on their member ID card and on their individual coverage record as it appears on Form 1099-HC.

Tufts Health Plan will mail a form 1099-HC to members who reside in Massachusetts or have a Massachusetts-based employer on or before January 31, 2024.

If you have coverage through your employer, they generally have up to 60 days to let us know about enrollment changes. We’ll send you a corrected form if a change affects your monthly coverage as noted on your Form 1099-HC.

We’ll mail Form 1099-HC to your home address if our records show that you:

  • Reside in Massachusetts
  • Were covered by the health plan at any time during 2023
  • Are the plan subscriber

You’ll need this information to complete Schedule HC of your 2023 Massachusetts tax return. The information on Form 1099-HC is reported to the Massachusetts DOR.

Members on Medicare supplement plans will not receive Form 1099-HC. Medicare coverage automatically meets the requirements for qualifying health insurance.

The form will indicate that in 2023, you have had either:

  • One full year of continuous health insurance coverage with a plan that meets the Massachusetts Minimum Creditable Coverage requirements, or
  • A partial year's health insurance coverage with a plan that meets the Massachusetts Minimum Creditable Coverage requirements. If you hadpartial a year's coverage, the form will indicate which months you had coverage with us.

Please note: You are considered covered under a health plan for a month if you had coverage for at least 15 days in any given month. If you had coverage for 14 or fewer days, your form will not show coverage with us for that month.

No. Your health insurer send you Form MA 1099-HC.

Speak with your tax advisor or visit theMassachusetts Department of Revenue website.

Form 1095-B serves as proof that an individual had qualifying coverage, referred to as minimum essential coverage, when filing their federal income tax statements.

Employees can file tax returns before receiving Form 1095-B, but should keep Form 1095-B with their tax records.

The type of coverage you have and where you work will determine the type of form you receive. The below table describes each type of form and who is responsible for sending you the form.

Form typeWho received this form?Who is responsible for sending this form?
1095-ASubscribers who receive coverage through a state or the federal health insurance marketplaceState or federal health insurance marketplace
1095-BSubscribers who receive coverage from Tufts Health Plan and have fully insured policiesTufts Health Plan
1095-CSubscribers who work for large employers that offer self-insured policiesYour employer

Tufts Health Plan will not be mailing copies of the 1095-B forms. The 1095-B form will be available online only by January 31, 2024. Log into youraccount atmytuftshealthplan.comto view and print Form 1095-B for yourself and your covered dependents. If the form is unavailable online, please contact Member Services at the number on your member ID card.

Form 1095-B is available only online;you will not receive a printed copy by mail. Log into your account atmytuftshealthplan.comto view and print Form 1095-B for yourself and your covered dependents. If the form is unavailable online, please contact Member Services at the number on your member ID card.

Yes, you could have more than one copy if you changed insurance companies or changed employers at some time during the year, or if you had coverage under more than Tufts Health Plan policy. Copies of Form 1095-B will be available online. You may have to contact your previous insurance company or employer to obtain their Form 1095-B.

Federal regulation requires us to report social security numbers for all covered individuals to the IRS. We are contacting members for this information if it’s missing from our records. Minimal essential coverage requires Tufts Health Plan to make three reasonable attempts to secure this information.

Information for tax filings | Tufts Health Plan (2024)

FAQs

Do I need to show proof of health insurance on my tax return? ›

Health care coverage documents

You are not required to send the IRS information forms or other proof of health care coverage when filing your tax return. However, it's a good idea to keep these records on hand. This documentation includes: Form 1095 information forms.

How does the IRS know if you have health insurance? ›

The Department of Health Care Services (DHCS) is required by state and federal law to send Form 1095-B information to the IRS and FTB for the purpose of validating months of health coverage reported by the person filing their state and/or federal taxes.

Do you need to report health insurance to IRS? ›

You will not need to send the IRS proof of your health coverage. However, you should keep any documentation with your other tax records. This includes records of your family's employer-provided coverage, premiums paid, and type of coverage.

Why do taxes ask if you have health insurance? ›

The IRS is requiring anyone that purchased health insurance from healthcare.gov (or a state marketplace) to report their policy information to determine if the taxpayer qualified for the Advanced Premium Tax Credit.

What is the IRS form for proof of health insurance? ›

NOTE: Your Fo​rm 1095-B is proof of healthcare insurance for the IRS and does not require completion or submission to DHCS. Please keep this form for your records. To understand more about the Federal and State Individual Mandates, please see the information and links below.

What happens if I don't report my 1095-A? ›

The purpose of Form 1095-A is to reconcile any advance premium tax credits you received during the year with the amount of credits you were eligible to receive. If you fail to file a tax return reconciling those payments, you will not be eligible for premium tax subsidies in the next year.

Is it worth claiming medical expenses on taxes? ›

Normally, you should only claim the medical expenses deduction if your itemized deductions are greater than your standard deduction (TurboTax can also do this calculation for you). If you elect to itemize, you must use IRS Form 1040 to file your taxes and attach Schedule A.

How does health insurance affect your federal income taxes? ›

2022 health coverage & your federal taxes

You'll use IRS Form 8962 to do this. If you used more premium tax credit than you qualify for, you'll pay the difference with your federal taxes. If you used less, you'll get the difference as a credit.

Does IRS still penalize for no health insurance? ›

So technically, the law does still require most Americans to maintain health insurance coverage. But the IRS no longer imposes a penalty on people who don't comply with that requirement.

Do I need to include a 1095 with my tax return? ›

In addition to filing your W-2, the IRS requires reporting of health insurance coverage information for the 2023 federal income tax reporting year. While it is not necessary to include the Form 1095-C with your tax return, you'll need to include your insurance information on your tax return.

Do you report health insurance premiums on taxes? ›

Health insurance premiums are deductible if you itemize your tax return. Whether you can deduct health insurance premiums from your tax return also depends on when and how you pay your premiums: If you pay for health insurance before taxes are taken out of your check, you can't deduct your health insurance premiums.

Does a 1095-A affect my taxes? ›

Basic Information about Form 1095-A

You will use the information from the Form 1095-A to calculate the amount of your premium tax credit. You will also use this form to reconcile advance payments of the premium tax credit made on your behalf with the premium tax credit you are claiming on your tax return.

How does the IRS know I have health insurance? ›

Health care insurance purchased through the Marketplace

If you purchased health care insurance through the Marketplace, you should receive a Form 1095-A, Health Insurance Marketplace Statement, at the beginning of the tax filing season.

What happens if you lie about not having health insurance on taxes? ›

The penalty will be applied by the California Franchise Tax Board. For information about the penalty, including the amount your family could owe for not having coverage, visit the Franchise Tax Board's website and use their Penalty Estimator Tool. Want to get started with Covered California?

Why is TurboTax not asking for health insurance? ›

TurboTax doesn't ask because health insurance is no longer a requirement And there is no penalty if you don't have it.

Do you need proof of medical expenses for taxes? ›

You should also keep a statement or itemized invoice showing: What medical care was received. Who received the care. The nature and purpose of any medical expenses.

How do I find my 1095-A online? ›

  1. Log into your Marketplace account.
  2. Under My Applications & Coverage, select your 2023 application — not your 2024 application.
  3. Select Tax forms from the menu on the left.
  4. Under Your Forms 1095-A for Tax Filing, click Download [PDF], and follow these steps based on your browser:
  5. How to find your Form 1095-A online.

How do I get my IRS 1095-B? ›

Call 1-800-MEDICARE (1-800-633-4227) to ask for a copy of your IRS Form 1095-B. TTY users can call 1-877-486-2048.

References

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