1095-B Forms

Individuals are no longer penalized on their income tax return if they don’t have medical insurance; and do not need the form to file their 2021 tax return. However, Sanford Health Plan is still required to have 1095-B forms available by January 31, 2023, for all individuals who had health insurance during the 2022 calendar year. A reminder that Sanford Health Plan does not mail 1095-B forms. Rather, if members want their 1095-B form, they can request a copy by calling our Customer Service team at (800) 752-5863.

1095-C Forms

If you are considered an applicable large employer (those with 50 or more full-time employees/equivalents), you are required to send 1095-C forms to your employees. For the 2023 calendar year, applicable large employers must provide these forms by January 31, 2023. Sanford Health Plan will provide data to all applicable large employers to complete Part I and Part II (and Part III for self-funded groups) of the form. The data will be sent from your Sales & Retention representative via a secure email, on or before Jan. 15, 2023.

W-2 reporting requirements

The ACA requires employers to report the cost of coverage (both employer and employee portion) under an employer sponsored group health plan. Employers are required to report this amount on the employee's W-2. If you need the data for this requirement, please contact your Client Service Representative.