Information on Internal Revenue Service Form 1095-B for 2021

As permitted by the IRS, the I.B.E.W. Local 25 Health and Benefit Fund is no longer mailing federal Form 1095-B to eligible participants. The IRS Form 1095-B will be made available to you upon request.  If you wish to obtain a copy of Form 1095-B you may receive a copy using the following contact information:

IBEW 25 Health and Benefit Fund

Phone Number:  631-434-3344

I.B.E.W. Local 25 Health and Benefit Fund
372 Motor Parkway
Hauppauge, NY 11788
Attn: Fund Manager

The due date for furnishing 2021 Form 1095-B to participants has been extended from January 31, 2022, to March 2, 2022.

All requests for a 1095-B will be mailed out. However, sending by secure email can be accommodated upon request.  You will receive your 1095-B within 30 days of your request.