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1095-B Health Coverage Form – Health Care Savings Plan

Under the Affordable Care Act (ACA), eligible individuals may receive a copy of their Form 1095-B for their Health Care Savings Plan through MERS. A request accompanied by an email address, a physical address to which requested information may be sent, and a telephone number for the eligible individuals, to be used to contact you with any questions. Request received for a Form 1095-B will be forwarded to eligible individuals within 30 days of the date the request is received.


Contact Human Resources at (734) 484-0065 or  to request a form.


Charter Township of Ypsilanti  •  7200 S. Huron River Dr. Ypsilanti, Mi 48197  •  (734) 544 - 4000

Mon. - Fri., 8:30am - 4:30pm  •  Closed 12:00pm - 1:00pm daily