Form 1095-A is used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Health Insurance Marketplace. Form 1095A is used to report certain information to the IRS about individuals who enroll in a qualified health plan through the Marketplace.Use Form 1095A, Health Insurance Marketplace, to file your federal taxes. You'll get this form from the Marketplace, not the IRS. The 1095-B form is for information purposes only and is not required to complete your tax return. Fill out a 1095B Request Form PDF Document, then attach the completed form to an email message. Phone: Call the number on the back of your BCBSIL member ID card to ask for your Form 1095-B. The Form 1095-A is used to reconcile Advance Premium Tax Credits (APTC) and to claim Premium Tax Credits (PTC) on your federal tax returns. Call (844) 598-9841 to make a payment using our automated phone service. This service is available 24 hours a day, 7 days a week.