Request Your Covered California 1095-A Form Online

Need your Covered California 1095-A form for tax filing and tired of waiting weeks for it to arrive or spending hours trying to reach Covered California?

If you cannot access your account, misplaced your form, or need a copy for your tax preparer, use the form below to request fast help retrieving your 1095-A.

Submit your request now to receive your 1095-A—often within hours.

Call or Text 800-341-1165 for Immediate No-Cost Help

Get Your 1095-A Form Fast With Our Online Form

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California Benefits Insurance Center is licensed with the California Department of Insurance and Covered California. We are recognized as one of the most trusted enrollment centers in the state, helping individuals and families find affordable health coverage that meets their needs.

“Covered California,” “California Health Benefit Exchange,” and the Covered California logo are registered trademarks or service marks of Covered California in the United States. This website is owned and operated by California Benefits Insurance Center, which is solely responsible for its content. It is not maintained by or affiliated with Covered California, and Covered California is not responsible for the content on this site. All contact information listed on this website belongs exclusively to California Benefits Insurance Center and cannot be used to reach Covered California.