Reporting Covered Individuals on Form 1095-B

In order to complete Form 1095-B, filers must include information on covered individuals. These are the individuals who were not directly offered an insurance plan but who still benefit from the health care coverage: spouses and dependents.

Form 1095-B: Lines 23-28
Lines 23 through 28 make up Part IV of Form 1095-B, which is where information about the covered individuals is reported. On these lines you’ll include:

• the covered individual’s name,
• their social security number,
• or their date of birth if you don’t have their SSN,
• and indicate which month(s) they were covered.

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