Form 1095-B
For Mississippi State and School Employees’ Health Insurance Plan COBRA and Retiree Participants
The Affordable Care Act no longer imposes a tax penalty for failure to have qualifying health coverage. Therefore, you do not need a Form 1095-B to complete your federal tax filing.
You can print your Form 1095-B from your myBlue account at any time. To download and print your Form 1095-B, use the “myBlue Login” to access your myBlue account. After logging in, select the “Your Info” tab and look for the section labeled “Form 1095-B”.
You can also request a hard copy of your Form 1095-B be mailed to you in one of the following ways:
- Complete the electronic request form.
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By sending us a letter requesting your Form 1095-B. Please include your full name and your
Participant ID number. The letter should be mailed to the following address:
Blue Cross & Blue Shield of Mississippi Attn: 1095-B Request 3545 Lakeland Drive Flowood, MS 39232
- Contact our Customer Support Team at 601-664-5300 or 1-800-709-7881, 8:00 a.m. to 5:00 p.m. Monday through Friday.
If you are not a COBRA or Retiree Participant, Blue Cross & Blue Shield of Mississippi does not issue your Form 1095-B. Please contact your employer for information regarding your Form 1095-B.