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Form 1094-B for Syracuse New York: What You Should Know

To file or request a copy, call or go to Medicaid.NY.gov. When you complete the form and send it to the NYS Department of Health, it will help ensure that your Medicaid coverage is correctly recorded in your records. Who's Covered? Who's Not? Medicaid/CHIP Consumers who aren't covered by any health insurance plan (including state and government plans, private health plans, and self-insured firms) are not required to list any health insurance plan(s) for filing. Instead, the amount of coverage is reported on Form 1095-C, Certificate of Coverage. Employers whose coverage is included in the employee's or self's household income and who do not provide benefits through a collective bargaining agreement can file the form using Form 1094-C, Employee's Certification of Coverage. See our article on filing the 1094-C, Employee's Certification of Coverage with a Health Plan here. You can also obtain your coverage from an eligible employer in the form of Form 1095-A. For purposes of the Health Insurance Marketplace, these households include only the following: (a) the householder or individuals who have health insurance coverage through the Marketplace; (b) the householder or individuals who have health insurance coverage from an eligible employer; and (c) the householder or individuals who are covered under other coverage, such as a government program, a private insurance plan or an individual's personal health coverage. Form 1095-B (or a substitute form) and all supporting information must be received from your employer or health insurance company on or before January 31, 2024. Any corrections to that form, other than correcting an error on the form, or amendments to form 1095-B after it is due, will only be made if the correction(s) are to your benefit, in accordance with federal regulations. Forms 1095-A (for the Marketplace) and 1094-C (for Forms 1095-A and 1095-C, respectively) will be issued only after October 5, 2022. Forms 1094-C and 1094-B are for households whose health insurance coverage is not eligible for the Health Insurance Marketplace. Form 1094-C was released for this purpose on January 23, 2021.

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