Brown University
STUDENT HEALTH INSURANCE PLAN

1095-B Tax Form

The initial 1095-B Form that you received concerning calendar year 2015 health insurance coverage through the 2014-15 and 2015-16 Brown University Student Health Insurance Policies was sent with incorrect information. There was a database mistake that directed the wrong insurance company name and coverage dates to be printed on the form. New corrected forms covering the following insurance coverage dates will be sent in the next week to 10 days for the respective companies.

Nationwide 1/1/2015 - 8/31/2015
Companion 9/1/2015 – 12/31/2015

Please discard the original form in a secure manner as it may include personally identifiable information. If you have already filed your tax return, keep copies of the replacement 1095-B Forms in case the return is questioned in the future. In the meantime you can file your return without the 1095-B Form and the IRS will accept your indication of insurance coverage.

Laws governing insurance company security procedures are very strict. Any personal information sent to the wrong insurance company will be safeguarded and can’t be used for any other purpose.