Form 1095-B for Tax Year 2024 Available Upon Request

Former Northwest Carpenters Participants and Dependents

Form 1095-B is used to report information about minimum essential health coverage to the Internal Revenue Service. CSAC has already provided your information to the IRS. It is not necessary to print and mail Form 1095-B with your tax return.

To request a printed copy of your Form 1095-B, please call (213) 386-8590 or toll-free (800) 293-1370 during business hours (Monday-Friday, 8 a.m. to 5 p.m. Pacific).

 You may also submit a written request to the following address:

Carpenters Southwest Administrative Corporation
Attn: Health and Welfare
533 South Fremont Avenue
Los Angeles, CA 90071-1706

Southwest Participants:

Your Form 1095-B has been mailed to you, but you may also request a printed copy using the contact information above.