Need your 1095-C form electronically?
Just go to the Reprint Portal starting Jan. 31, 2020 and follow the instructions.
Reprint Portal

The 1095-C form provides proof of health insurance for 2019.

How to get a copy of the form

You'll receive a copy of your form at home in the mail. If you elected to receive the form electronically, you'll receive an email with a link to access to the email address provided.

  • You’ll need your Social Security number, last name, and date of birth.
  • You’ll be able to view, print, mail, or email the form from the site.*

What is the 1095-B form?

If you were enrolled in a Walmart HMO or the eComm PPO plan in 2019, you’ll receive an additional tax form directly from your plan administrator called the 1095-B form. If you have questions about the 1095-B form, contact your administrator at the number on the back of your plan ID card.

What is the 1095-A form?

If you, or anyone in your household, enrolled in a health plan through the Health Insurance Marketplace, the Health Insurance Marketplace will mail you a 1095-A form. This form will include premium tax credit information, if applicable.

Just the facts

  • Under The Affordable Care Act (ACA), commonly known as health care reform, Walmart is required to report if associates were offered health insurance and if they enrolled in coverage.
  • You’ll receive a copy of your 1095-C form at home from Walmart. You can also access additional copies online. If you opted to receive your 1095-C electronically, you’ll receive a link to access the form.*

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*You will only be able to access documents delivered to you electronically if you have the Adobe Acrobat Reader 6 and higher to view the material and one of the following internet browsers: Microsoft Internet Explorer 8 and higher, Firefox 35 and higher, Google Chrome 40 and higher or Safari 7 and higher.