Excellus Bluecross BlueShield logo
Login | Register | Forgot Username | Forgot Password
Program Offerings
By Phone
By Email
By Mail
Visit Us In-Person
News & Updates
Print Forms
About Us
Compliance Notices
Employer News | March 2016
Employer News | March 2016

Membership Updates That Will Result in a ‘Corrected’ Form 1095-B

In February, Excellus BlueCross BlueShield mailed Form 1095-B statements to individuals for tax filing purposes. Beginning in March, any updates that impact 2015 eligibility, or certain other data changes, will be reflected on a ‘corrected’ Form 1095-B and mailed to individuals.

The ‘corrected’ Form 1095-B statements will indicate ‘corrected’ in a box at the top of the form, as shown here:

Membership updates that will result in a ‘corrected’ Form 1095-B:

  • A retroactive add of a subscriber with a new subscriber identification number for tax year 2015
  • A retroactive add of a dependent
  • A retroactive change in eligibility status for a subscriber or dependent
  • A retroactive change in coverage duration for a subscriber or dependent
  • A change, add or delete to a SSN for a subscriber or dependent
  • A change to the date of birth for a subscriber or dependent only if date of birth was previously listed on the Form 1095-B
  • A change to a first and/or last  name of a subscriber or dependent


Home     News & Updates    Print Forms    About Us    Fraud & Abuse    Glossary    Accreditations   
Language Assistance and Non-Discrimination Notice

Copyright © 2019, Excellus BlueCross BlueShield, a nonprofit independent licensee of the Blue Cross Blue Shield Association. All rights reserved. View our Web Privacy Policy for information on how we protect your privacy. Use of this site indicates your acceptance of our Terms of Use. Follow this link to view our 31 county New York State service area. You will need Internet Explorer or Firefox to use the secure features of this site.