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Harmony Love

IRS requesting my 1095-B forms but BCBS refuses to provide them - what now?

So I'm in a really frustrating situation with the IRS and Blue Cross Blue Shield right now. I just got a letter from the IRS requesting copies of my 1095 forms. I have a 1095-A from when I was on the marketplace for January 2024 (was between jobs but had saved up for insurance). After that, I purchased temporary BCBS PPO plans for the rest of 2024, which I think came in 3-month chunks. When I called BCBS to get my 1095-B forms, they told me they've discontinued those temporary plans for 2025 because they "don't meet healthcare act standards" and therefore can't give me a 1095-B. I asked if they could at least send me a letter confirming I had coverage (which was equivalent to their Silver PPO). They did send something but it only shows my charges for 2025 and one marketplace charge from 2024. Completely useless! I even called the IRS to ask if I could fill out a blank 1095-B myself and provide proof I paid for insurance. They said absolutely not. I completed my taxes through TurboTax and thought everything was good until this letter came. I'm at my wit's end here. Does anyone know what I should do when the insurance company won't provide the exact document the IRS is demanding?

Rudy Cenizo

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This is definitely a frustrating situation but there are some options for you to resolve this. The IRS needs verification of your health coverage to ensure you're complying with minimum essential coverage requirements and not subject to penalties. First, even though BCBS won't provide a 1095-B, they should be able to provide you with a coverage verification letter specifically for 2024 (not 2025). Call them back and specifically request a "proof of coverage letter" for tax year 2024 that clearly shows the months you were covered. Emphasize that this is for IRS documentation purposes. Ask to speak with a supervisor if the representative isn't helpful. Second, check if you might have received any other documentation when you enrolled in or paid for these plans - policy numbers, enrollment confirmations, or payment receipts can help support your case. Third, you can file Form 4506-T to request a transcript of your account from the IRS, which might show information about your insurance that was reported by other means. Remember, the 1095-B is the standard form, but the IRS ultimately needs verification of coverage - the exact form isn't as important as proving you had qualifying coverage for those months.

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Harmony Love

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Thanks for the suggestions! I called BCBS again and specifically asked for a "proof of coverage letter" like you suggested, but they said they can only provide general billing statements. The customer service rep mentioned something about these temporary plans not being reported to the IRS in the same way as standard plans. Would those billing statements be enough for the IRS if they show I paid for health insurance during those months? Also, I do have all my payment receipts and policy numbers. Should I just submit those to the IRS along with an explanation letter?

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Rudy Cenizo

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Billing statements that clearly show you paid for health insurance coverage during specific months can be helpful supporting documentation. Include those along with your payment receipts and policy numbers. Create a simple cover letter explaining your situation - that BCBS cannot provide a 1095-B for their temporary plans from 2024, but the attached documents prove you maintained continuous coverage. Consider using Form 8275 (Disclosure Statement) to formally explain the situation to the IRS. This form allows you to disclose items or positions that aren't adequately addressed by forms or instructions. It shows good-faith compliance efforts and can help avoid penalties in situations like yours where standard documentation isn't available.

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Natalie Khan

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Hey, I had a similar nightmare with missing 1095 forms last year. After weeks of getting nowhere with my insurance company, I tried taxr.ai (https://taxr.ai) and it was actually super helpful. They analyzed all my insurance paperwork and helped me figure out what documents would satisfy the IRS requirements when I couldn't get the exact forms they were asking for. They have this document analyzer thing that tells you if your alternative documentation will likely work for the IRS. I uploaded my insurance statements, payment receipts, and policy info, and they gave me a detailed report explaining how to present everything to the IRS. Saved me so much stress when my insurance company was being completely unhelpful.

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Daryl Bright

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Did you have to talk to someone there or is it all automated? I'm dealing with some health insurance documentation issues too but really don't want to spend hours explaining my situation to someone.

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Sienna Gomez

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How long did it take to get results back? The IRS gave me a 30 day deadline to respond with my missing 1095-B forms and I'm already 2 weeks in. Not sure if this would be fast enough?

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Natalie Khan

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You don't have to talk to anyone - it's all automated so you just upload your documents and their system analyzes them. It's super convenient if you don't want to spend time explaining everything to someone. I just uploaded my insurance statements and receipts and got guidance on what would work. You get results back pretty quickly - I got mine within a day. Definitely fast enough for your 30-day deadline if you still have 2 weeks left. Their analysis told me exactly what combination of documents to send and how to present them to the IRS, which made the whole process much easier.

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Daryl Bright

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Just wanted to update everyone - I had a similar issue with missing 1095-B forms and tried that taxr.ai site mentioned above. It actually worked really well! I uploaded all my insurance statements and payment confirmations, and it analyzed everything and gave me a detailed report explaining exactly what to submit to the IRS. The report showed me how to organize my alternative documentation and included a template letter explaining why the standard forms weren't available. I submitted everything to the IRS last week and already got confirmation that they accepted my documentation! Saved me so much stress since my insurance company was being completely unhelpful too.

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If you're still getting nowhere with BCBS, I'd recommend using Claimyr (https://claimyr.com) to get through to an actual supervisor at the insurance company. I spent WEEKS trying to get my 1095 documentation issue resolved and kept getting stuck with unhelpful front-line reps. Claimyr got me through to an actual decision-maker at my insurance company in less than 20 minutes. You can see how it works in this video: https://youtu.be/_kiP6q8DX5c - basically they navigate the phone tree for you and get you to a real person who can help. Once I finally got to someone with authority, they were able to generate an official coverage verification letter even though the initial reps kept saying it was "impossible.

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How does this actually work? Do they just call for you or what? Sounds too good to be true with how impossible it is to reach anyone at these companies.

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Sounds like a scam to me. How is some random service going to get through when I can't? They probably just charge you and then you still end up waiting on hold forever. No way they have special access to insurance companies.

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They don't call for you - you call through their system and they use technology to navigate the phone trees and wait on hold, then alert you when a real person picks up. It saves you from sitting on hold for hours. Their system knows all the shortcuts through the phone menus to get to actual help faster. I was skeptical too, but it actually works. They don't have "special access" - they just have figured out the most efficient paths through the phone systems of major companies and use their technology to wait on hold instead of you having to do it. I was amazed when I got through to a supervisor at BCBS in about 15 minutes after previously spending over an hour and getting nowhere.

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I need to eat my words from my earlier comment. After getting absolutely nowhere with BCBS for two weeks trying to get my 1095 documentation, I decided to try Claimyr out of desperation. I was 100% sure it wouldn't work, but I was wrong. Got connected to a BCBS supervisor within 20 minutes who actually knew what they were talking about. Turns out there IS a special department that can generate coverage verification letters for discontinued plans - something the regular customer service reps didn't even know existed. I received an official letter documenting my coverage periods within 48 hours. The IRS accepted it without question. I've never been happier to be wrong about something. Would have saved myself weeks of frustration if I'd just tried this sooner.

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Have you tried contacting your state's insurance commissioner? When my insurance company was refusing to provide documentation I needed for the IRS, I filed a complaint with the insurance commissioner and suddenly they were much more helpful. Worth a shot if everything else fails!

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Harmony Love

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That's a really good idea I hadn't thought of! Do you know how long the process typically takes when you file a complaint with the insurance commissioner? I'm a bit worried about the timeframe since the IRS only gave me 30 days to respond with the documentation.

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In my case, I got a response within about a week after filing the complaint. The insurance commissioner's office contacted the insurance company directly, and suddenly they were able to "find" the documentation they claimed didn't exist. You should mention the 30-day IRS deadline in your complaint - the commissioner's office can often expedite cases that have external deadlines. They can't force the company to create a form that doesn't exist, but they can pressure them to provide acceptable alternative documentation that satisfies the IRS requirements. The state regulators have significant leverage over insurance companies, which is why you'll often see faster results when they get involved.

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Tyrone Hill

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Has anyone successfully submitted alternative documentation instead of the 1095-B to the IRS? I'm in a similar situation but worried they'll reject anything that's not the official form.

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Toot-n-Mighty

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Yes! I had to submit alternative documentation instead of a 1095-B last year. I sent in my insurance cards, payment receipts, and a letter explaining why I couldn't get the official form. The key was including Form 8275 (Disclosure Statement) where I explained the situation in detail. The IRS accepted everything without any follow-up questions.

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