ACA – 1095-B Reporting

The Patient Protection and Affordable Care Act (PPACA) created new Internal Revenue Service (IRS) reporting requirements for your Student Health Benefits. Under these reporting rules, information must be submitted to the IRS on behalf of all students enrolled in the Student Health Service during the previous calendar year.  This form is called the 1095-B for student health plans.

Washington University School of Medicine Student Health Service (WUSM SHS) Benefit Plan is currently recognized by the U.S. Department of Health and Human Services (HHS)  as Minimum Essential Coverage (MEC).

Please note: Student Health Service is a program of services that meets the “Minimum Essential Coverage” definition.  Student Health Service is NOT an insurance.

WUSM is required to report to the IRS those students that maintained MEC through WUSM SHS. The reporting will take place at the end of February. The IRS will match the data submitted from WUSM SHS to each individual’s or family’s federal tax return and will use the student’s social security number as the primary identifier.

Therefore, WUSM SHS was required to supply certain information for each student and their enrolled family member to our third party administrator. The IRS also requires WUSM SHS to provide a statement of coverage (federal tax form 1095-B) to the primary covered person. If a student and/or family were enrolled in the WUSM SHS Benefit Plan during 2018, the student should receive a 1095-B form by U.S. postal mail. We ask you to verify your preferred mailing address is updated in WebSTAC. We will mail your 1095-B copy form in March.

The 1095-B form will contain the student’s name, address, date of birth, and Social Security Number (SSN) for you and for each covered member, and will include the months for which each individual was enrolled in coverage for at least one day. If a covered dependent does not have a SSN, the dependent’s date of birth will instead be reported on this form.

We will mail you a copy of your completed 1095-B form for your tax records.  The 1095-B may be necessary to complete your tax return.  However, you do need to submit the 1095-B from itself with your tax return.

More information about Form 1095-B and IRS reporting requirement is available on the IRS website by searching on Affordable Care Act tax provisions.