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Phone Number: (937) 767-1468

Fax Number: (937) 767-1793

Health Coverage Tax Documents

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS
 
Notice of Availability of Form 1095-B
In accordance with the Paperwork Burden Reduction Act, MVECA will no longer automatically mail a paper copy of Form 1095-B, Health Coverage to all individuals for the 2025 tax year.

How to Request Your Form
You have the right to receive a copy of your Form 1095 upon request. To request a copy, please contact us using one of the following methods:
  • Email: [email protected]
  • Physical Mail: 888 Dayton St, Unit 102, Yellow Springs, OH 45387
  • Phone: 937-767-1468 ext. 3112
Timeline for Delivery
Once your request is received, we will furnish the form to you within 30 days.

Retention of This Notice
This notice will remain available on this website until October 15, 2026.