NOTICE OF RIGHT TO REQUEST TAX NOTIFICATION FORM 1095-B

You do not need to file a 1095 form with your federal tax return, but some members may need the form to comply with state reporting requirements.  Members and beneficiaries may request for a copy of their Form 1095-B by:

·         Email to 1095Bhelp@benesys.com

·         Calling (602) 956-1950 between 8:00 AM and 5:00 PM PST

·         Mail to:

BeneSys, Inc.
3109 N 24th Street, Suite 105
Phoenix, AZ 85016
ATTN:  1095-B Requests

Your request MUST include: (1) your Plan’s name, (2) the member’s name, (3) your name if you are not the primary member, (4) the address you would like the form sent to and (5) the phone number we can call if we have any questions. 

Please call (602) 956-1950 with any questions about Form 1095-B.