Form 1095-B contains information to prove that you (and any covered dependents) had medical coverage in the last calendar year (January – December).
Form H1020-A is a Texas Health form designed to assist in gathering proof of age, relationship, and income statements. This document outlines the various types of acceptable proof to ensure eligibility for services. Use this form to provide the necessary evidence requested by your advisor.
Use manual Form H1028 when TIERS is down and a person cannot furnish sufficient verification of income or mandatory deductions. Send the form to the person to take it to the employer for completion. Document in the household's case record the date the form is given to the person.