FORM 1095-B HEALTH COVERAGE
If you would like to request a copy of your1095-B tax form, you may use any of the three options below:
Telephone: 878-465-2036
Email: 1095Brequest@amcasystems.com
Mailing a written request to: ACSHIC 1095B Request 101 Bradford Road Suite 340 Wexford, PA 15090
Requests will be fulfilled within 30 days of receipt in accordance with the Act. Requests must include the employee’s first and last name, current address, and the school entity the coverage was under during the 2024 calendar year.