If you lived in California, New Jersey, Rhode Island, Vermont or the District of Columbia at any time in 2021, UNITE HERE HEALTH (“The Fund”) or Kaiser will mail your Form 1095-B. Please disregard the message below since your state has its own health coverage requirements for residents.

PLEASE NOTE: The Fund isn’t mailing the 2021 Form 1095-B (proof of health coverage in 2021) unless you request a print copy. There are no federal fines if you didn’t have health coverage in 2021. If you had Kaiser coverage in 2021, your Form 1095-B is available from Kaiser at www.kp.org/mytaxdocs or www.kp.org/mydocuments. However, if you lived in California, New Jersey, Rhode Island, Vermont or the District of Columbia during 2020, please see the above message in red.

To request a copy of your form:

• Email 1095B@uhh.org
• Call your dedicated plan phone number
  Submit a request via mail. Find your plan address here.
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