Unity Group Insurance
1095-B Forms

As a requirement of the Affordable Care Act, the 2017 federal tax return will ask if members and their dependents had qualifying health care coverage in 2017.

The 1095-B Form will detail the 2017 coverage and should be kept with the member’s tax records.

In January, we will send off-exchange individual members a printed copy of their 1095-B Form* and it will also be available in MyChart. If members don’t want to receive a printed copy in the mail, they should update their preferences in MyChart by January 1, 2018. Quartz will email members when the form is available to print from MyChart.

* Note: BadgerCare Plus, Health Insurance Marketplace (HIM) and Medicare S​elect members may receive a similar form from Medicaid, HIM or Medicare. They will not receive a 1095-B form from Quartz.
1095-B form