Requesting Form 1095-B

UHA is not automatically mailing federal Form 1095-B to UHA subscribers. According to the IRS, Form 1095-B is not required for you to file your calendar year 2019 federal tax returns. The IRS explains there is no longer a penalty (known as the individual shared responsibility payment) if you do not have a full-year of health care coverage. The information in Form 1095-B, therefore, is not necessary for 2019 federal tax filings.

If you wish to receive a copy of your 1095-B for your own records, you may request one by:

  • Calling UHA Customer Services at 808.532.4000, extension 297 or 1.800.458.4600, extension 297 from the neighbor islands

  • Sending an email to with your request.*
  • You must provide the following information:
    First and last name
    Email address
    Contact number
    Physical address

All requests for a 1095-B will be mailed out by default. However, an email request can be accommodated.

*Please be aware there are privacy risks when you send an email to UHA that is not encrypted. If you wish UHA to respond through email back to you, then UHA will send an encrypted email.

You will receive your 1095-B within 30 days of your request.

If you have any questions, you may:

  • Talk with your tax consultant
  • Visit
  • Call UHA Customer Services during business hours, Monday to Friday, 8 a.m. to 4:30 p.m.
  • 808.532.4000, extension 297
    1.800.458.4600, extension 297 from the neighbor islands

If you have questions about other tax forms, please visit

This website has been prepared to conform to the requirements of IRS Notice 2019-63 and the website content is for informational purposes only. UHA does not provide tax, legal or accounting advice.