Pursuant to the recently adopted Paperwork Burden Reduction Act of 2024 and beginning with the 2024 reporting year, the Allegheny County Schools Health Insurance Consortium (ACSHIC) will only send 1095-B forms to an employee if the employee makes a request for the form.  Please note that the 1095-B form is not necessary for an individual to file their tax return.

For reference, the 1095-B form lists each member’s name, address, date of birth, Social Security Number, and months of coverage during the year.

If you would like to request a copy of your 1095-B tax form, you can 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.  Please ensure that your request includes the employee’s first and last name, current address, and the school entity the coverage was under during the 2024 calendar year.