Your Form 1095B is proof of healthcare insurance for the IRS and does not require completion or submission to DHCS. Please keep this form for your records.Covered California will send IRS Form 1095-A Health Insurance Marketplace Statement to all enrolled members. File IRS form 1095-A to get highest federal tax return. Learn what to do, how to file, why you got form, what to do if no 1095-A. General Instructions. It shows how many months you had health insurance. Download an application below, call (408) 758-3800 to get an application mailed or pick it up in one of our lobbies. Securing your today and tomorrow. Covered California will send IRS Form 1095-A Health Insurance Marketplace Statement to all enrolled members.