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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Thank you. We are processing your request. A license agent may reach out if more information is required to obtain your 1095-A form.