1095-B for Previous Tax Year

MERS Health Care Savings Plan 1095-B for Previous Tax Year

If you have access to your MERS Health Care Savings Account online, you may receive a copy of your current tax year 1095-B form through the website, or by request (see below).

What is a 1095-B?

Form 1095-B provides information about the individuals in your tax family (yourself, spouse, and dependents) who had certain health coverage (referred to as "minimum essential coverage") for some or all months during the year. Minimum essential coverage includes government-sponsored programs, eligible employer-sponsored plans, individual market plans, and other coverage the Department of Health and Human Services designates as minimum essential coverage.

Which individuals are eligible to receive a 1095-B?

Participants who have access to their HCSP account for qualified medical expense reimbursements.

Who qualifies as an individual eligible to request a 1095-B?

Terminated employees (non-Medicare retirees, retirees who are not enrolled in one of the City of Battle Creek's health insurance plans, or beneficiaries of a deceased employee).

What should I do to request a 1095-B?

You may send a written request for a 1095-B to:
City of Battle Creek
Human Resources Department
10 N. Division St.
Battle Creek, MI 49014

Eligible individuals will receive their requested 1095-B within 30 days of the date the city received the request.

For questions about a 1095-B form, please call 269-966-3314.