1099-HC Form
04-1045815 is the Federal Tax ID (FID) for Blue Cross Blue Shield of Massachusetts for Health Care tax filing purposes. Follow these instructions or call 1-888-407-5719 to request a copy of your 1099-HC or 1095-B form.
Your Massachusetts Department of Revenue income tax filing will ask for data that is included on the MA 1099-HC form. If you were insured through Blue Cross for all 12 months of the tax year, the "Full Year Coverage" box will be checked off. If you were insured through Blue Cross for less than 12 months, only the months that you had at least 15 days of health insurance will be checked off.
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Members
If you have not received a form by the first week of February , please:
- Login to your MyBlue account and click on "Contact Us". From there you can request a PDF of your MA 1099-HC form to be sent via secure email
- Call Member Service at the number on the front of your ID card
Please note that any of your dependents who will be filing a separate state tax return will need this information to complete their filing. The MA 1099-HC may be photocopied. You do not need to contact us to request additional forms. If you had health insurance through another carrier during the year, you should receive a separate MA 1099-HC form from them.
The following members will not receive a MA 1099-HC form:
- Members younger than 18 years old
- Members with a dental-and/or vision-only plan through Blue Cross Blue Shield of Massachusetts
- Members enrolled in Medex®' or one of our Medicare Advantage plans
For More Information:
- Please direct all tax-related questions (including preparation of tax filings and financial penalties for not having insurance) to the Massachusetts Department of Revenue by visiting www.mass.gov/dor or calling 1-800-392-6089.
- If you have additional questions, please call Member Service at the number on the front of your ID card, or visit our Frequently Asked Questions page.
- You can also visit the Commonwealth Health Insurance Connector online at www.mahealthconnector.org or call 1-877-MA-ENROLL (1-877-623-6765).
1095-B Form
Qualifying Subscribers to Receive 1095-B Forms
We will issue 1095-B forms by January 31, , to qualifying members who were enrolled in a Blue Cross Blue Shield of Massachusetts plan at any time during the calendar year. This form states which months in you had health care coverage that meets the minimum essential coverage standards set by the federal government under the Affordable Care Act.
The Internal Revenue Service income tax filing will ask for information that is included on the 1095-B form. If you were insured through Blue Cross for all 12 months of the tax year, the "Covered all 12 months" box will be checked off. If you were insured through Blue Cross for less than 12 months, only the months that you had at least 1 day of health insurance will be checked off. If you switched plans with us within the year then you may receive more than one 1095-B from us.
Members
If you have not received a form by the first week of February , please:
- Call Member Service at 1-888-407-5719
Please note that any of your dependents who will be filing a separate federal tax return will need this information to complete their filing. The 1095-B form may be photocopied. You do not need to contact us to request additional forms. If you had health insurance through another carrier during the year, you should receive a separate 1095-B form from them.
The following members will not receive a 1095-B form:
- Members of self-funded plans
- Members with a dental—and/or vision—only plan through Blue Cross Blue Shield of Massachusetts
- Members enrolled in Medicare Part B or one of our Medicare Advantage plans
- Members enrolled in Health Savings Account plans
- Members enrolled in wellness programs that are part of minimum essential coverage
For more information:
- Please direct all tax-related questions (including preparation of tax filings and financial penalties for not having insurance) to the Internal Revenue Service by visiting www.irs.gov/ACA.
- If you have additional questions, please call Member Service at 1-888-407-5719, or visit our Frequently Asked Questions page.