
All other PDF forms can be enlarged by zooming in.** Trusts **Forms for people with low vision/partially sighted people are available by calling (517) 319-6862 or emailing the income tax office.
EL-1040X Amended Income Tax Return Payment Voucher (PDF).
EL- 1040X Amended Income Tax Return (PDF). EL-1040X Instructions for Amended Individual Income Tax Return (PDF). EL-2848 Power of Attorney Authorization (PDF). 2022 Part Year Resident Calculation (PDF). 2022 EL-1040 Individual Return Attachments pages 3-15 (PDF). 2022 EL-1040 Individual Return pages 1-2 (PDF). A phone call is necessary in this situation because of the private and confidential nature of the 1095B form. If you have had an address change in 2019 or 2020, please call customer care to request a printed copy of the 1095B.
If you have any questions about your Form 1095-B, contact UnitedHealthcare by calling the number on your ID card or other member materials.
Complete the 1095B Paper Request Form and email it to your health plan at the email address listed on the formĪ Form 1095-B will be mailed to the address provided within 30 days of the date the request is received.
Call the number on your ID card or other member materials. Members can view and/or download and print a copy of the form at their convenience, if desired.Īdditionally, a request for a paper form can be made in one of the following ways: How to find or request your Form 1095-Bįorm 1095-B will still be produced for all UnitedHealthcare fully insured members and will continue to be made available on member websites, no later than the annual deadline set by the IRS. Members living in states with laws that require reporting of health coverage will continue to receive a paper copy of the Form 1095-B for state filing tax purposes. Therefore, individuals no longer need the information on the Form 1095-B to file a federal income tax return. Under new law that became effective beginning with the 2019 tax year, the IRS penalty for not having health coverage was reduced to zero. Most fully insured UnitedHealthcare members will no longer automatically receive a paper copy of the Form 1095-B due to a change in the tax law.