This website is designed and intended to assist BenefitScape clients that utilized our services to prepare the Forms 1095 for their employees who were offered coverage through a Company Health Plan.

• If you wish to receive a reprint of your form, please begin by clicking the “Request Reprint” button to go to the form.
• If you believe your Form 1095 contains errors, or there is data that needs to be changed, you can “Request Change” below.