Request a copy via email: TaxFormRequest@bcbsnc.com
Please be aware that e-mail communication can be intercepted in transmission or misdirected. If you are uncomfortable with sending your health information via unsecured email, please consider communicating by using one of the other methods on this page.
Please include the following information in your email to us:
- Name (as it appears on your member ID card)
- Email address
- Member ID
- Date of birth
- Home mailing address
By sending an email to this address, I am affirmatively consenting to receive my 1095-B Form via email and understand by doing so that I will not receive a paper copy of Form 1095-B unless I specifically request one. As a convenience to me, I hereby request and authorize Blue Cross and Blue Shield of North Carolina (Blue Cross NC) to provide me with this form electronically. I understand that it is my responsibility to ensure Blue Cross NC has my up-to-date email address and that it is in fact correct and accurate. I further understand that I am solely responsible for ensuring my email address is functioning properly at all times and that Blue Cross NC has no liability for errors in transmission of the electronic Form 1095-B other than addressing the electronic form to the email address I provided. I acknowledge and agree that the date of receipt of my electronic Form 1095-B shall be the date and time on which I requested it, regardless of the date and time I actually receive and/or review this form.