Authorization

Behavioral Health

Claims & Reimbursement

Enrollment/Change Forms

Miscellaneous

Tax Forms

  • Form 1095-B

    The Internal Revenue Service (IRS) recently issued new guidelines for the Form 1095-B, which shows the months during the previous year a member received coverage. MVP is no longer required to mail the 2019 Form 1095-B to fully insured Large and Small Group subscribers, and to direct-enrolled Individual subscribers.

    Accessing Your Form 1095-B
    To view and download a copy now:

    To request a copy be mailed:

    • Fill out this form with your MVP member information, or
    • Call MVP’s Customer Care Center at 1-855-853-4877, Monday through Friday from 8:30 am to 5 pm.

    If you need help filling out your tax return or have questions about how to file your taxes using Form 1095-B, you should contact a tax professional, or you can call the IRS Tax Help Line at 1-800-829-1040 or visit the IRS website.


Pharmacy