IRS Release Status: FINAL

Sample Excel Import File: 1095-B 2019.xlsx 


What's New?

What's New for 2019

  • Updated 2019 Verbiage on Instructions
  • No new form changes

Import Form Fields:

Field Name

Size

Type 

Description

Notes

See Form Filer Common Fields



See Recipient Common Fields



Record Type1Text

Record Type is a required field and it indicates if a record is the Employee Record

or the Covered Individual record.  Use E for employee & C for Covered Individual

Use E for employee & C for Covered Individual
Rcp Email65Text

Rcp IMB65Text

Tax State2Text

Emp TIN11NumericPart II: Employer EIN
Emp TIN Type1NumericPart II: Employer TIN TypeEIN=1, SSN=2, Unknown type=0 or blank
Emp Address Type1TextPart II: Employer Address Type
Emp Country Code2TextPart II: Country Code
Emp Country Key1NumericPart II: Country Key
Emp Name 140TextPart II: Employer Name 1
Emp Name 240TextPart II: Employer Name 2
Emp Address 140TextPart II: Employer Street Address
Emp Address 240TextPart II: Employer Suite/Apt
Emp City40TextPart II: City
Emp State23TextPart II: Employer State/Province
Emp Zip15TextPart II: Employer Zip/Postal Code
Rcp Date of Birth8DateRecipient date of birthMM/DD/YYYY or M/D/YYYY
Policy Origin Code2TextLetter identifying the origin of the policyA, B, C, D, E, and F are valid codes
Ind All Coverage Chk1CheckboxIndividual: Covered all 12 months checkboxX / Y / T / 1 = Checked
Ind Apr Coverage Chk1CheckboxIndividual: Covered for April checkboxX / Y / T / 1 = Checked
Ind Aug Coverage Chk1CheckboxIndividual: Covered for August checkboxX / Y / T / 1 = Checked
Ind Dec Coverage Chk1CheckboxIndividual: Covered for December checkboxX / Y / T / 1 = Checked
Ind Feb Coverage Chk1CheckboxIndividual: Covered for February checkboxX / Y / T / 1 = Checked
Ind Jan Coverage Chk1CheckboxIndividual: Covered for January checkboxX / Y / T / 1 = Checked
Ind Jul Coverage Chk1CheckboxIndividual: Covered for July checkboxX / Y / T / 1 = Checked
Ind Jun Coverage Chk1CheckboxIndividual: Covered for June checkboxX / Y / T / 1 = Checked
Ind Mar Coverage Chk1CheckboxIndividual: Covered for March checkboxX / Y / T / 1 = Checked
Ind May Coverage Chk1CheckboxIndividual: Covered for May checkboxX / Y / T / 1 = Checked
Ind Nov Coverage Chk1CheckboxIndividual: Covered for November checkboxX / Y / T / 1 = Checked
Ind Oct Coverage Chk1CheckboxIndividual: Covered for October checkboxX / Y / T / 1 = Checked
Ind Sep Coverage Chk1CheckboxIndividual: Covered for September checkboxX / Y / T / 1 = Checked

1095-B Form:

 

IRS 1095-B Form:   2019 1095-B Form

IRS 1095-B Instructions:   2019 1095-B Instructions

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