Terms of Service

Disclaimer

The information provided through 1095Request.com is intended solely for use in requesting IRS Form 1095-B or Form 1095-C in accordance with applicable federal regulations. While we take reasonable measures to ensure accuracy and security, ChannelBound LLC does not guarantee that all information provided on this site is current, complete, or free from errors. This service does not constitute legal, tax, or compliance advice. Users should consult with qualified professionals regarding their specific circumstances.

By using this site, you acknowledge and agree that:

Use of this service is at your own risk. ChannelBound LLC is not liable for any direct, indirect, incidental, or consequential damages arising from use of this site or our services, including reliance on chatbot or automated responses.

Terms of Use

Acceptance of Terms

By accessing or using 1095Request.com, you agree to be bound by these Terms of Use and all applicable laws. If you do not agree, you must not use this site or its services.

Authorized Use

This site is provided solely to facilitate requests for IRS Form 1095-B or Form 1095-C and to offer general informational resources to assist users. Any misuse, including providing false information, unauthorized access attempts, or interference with service operations, is strictly prohibited.

Privacy & Security

We collect, process, and store information provided by you solely for the purpose of fulfilling your form request, in accordance with applicable data privacy laws. All information is transmitted and stored securely. For details, see our Privacy Policy.

Identity Verification

Form requests will only be processed upon successful completion of our identity verification protocols. Requests that cannot be verified may be denied.

Uploading PII or Form 1095 Data

If you choose to upload personally identifiable information (PII), tax forms, or other sensitive data to 1095Request.com:

Chatbot and Automated Assistance Disclaimer

If a chatbot, automated assistant, or other AI-driven help tool is available on 1095Request.com:

Delivery Methods

Forms may be delivered via encrypted email link or USPS mail, as authorized by the requester. ChannelBound LLC is not responsible for delays or loss caused by third-party carriers or email service providers.

No Legal or Tax Advice

Use of this site and service does not create an attorney-client, accountant-client, or similar professional relationship. We do not provide legal, tax, or compliance advice.

Limitation of Liability

To the fullest extent permitted by law, ChannelBound LLC and its affiliates are not liable for any damages, including loss of data, profits, or business opportunities, arising from use of this site or services, including reliance on chatbot or automated responses.

Modifications to Terms

We reserve the right to update or modify these Terms of Use at any time without prior notice. Your continued use of this site constitutes acceptance of those changes.

Governing Law

These Terms are governed by the laws of the State of Texas, without regard to its conflict-of-law principles.

Privacy Policy

Information We Collect

We collect only the information necessary to process your Form 1095-B or Form 1095-C request, which may include:

How We Use Your Information

We use your information solely to:

We do not sell or share your personal information with unrelated third parties for marketing purposes.

Handling of Uploaded PII and IRS Form Data

If you upload PII or IRS Form 1095-B or Form 1095-C data:

  • Files are transmitted via secure HTTPS and encrypted in storage.
  • Access is restricted to authorized personnel who require the information to process your request.
  • Data is retained only as long as necessary to fulfill your request or comply with applicable laws.
  • We strongly discourage uploading any unnecessary personal or financial information not directly required for your request.
ACA and IRS Publication 1075 Compliance

ChannelBound LLC handles all IRS Form 1095-B and Form 1095-C data in accordance with the Affordable Care Act (ACA) confidentiality provisions and the Internal Revenue Service Publication 1075 guidelines for safeguarding federal tax information (FTI). This includes:

Data Security

We employ physical, administrative, and technical safeguards to protect your personal information, including:

Data Retention

We retain personal information only as long as required by applicable federal and state retention laws, after which it will be securely deleted or anonymized.

Sharing of Information

Your information may be shared only with:

You have the right to:

Changes to This Policy

We may update this Privacy Policy periodically to reflect changes in law, technology, services offered (including chatbot functionality), or our practices. Updates will be posted on this page with a revised "Effective Date."

Effective Date: February 10, 2025

Contact Information

Email: admin+1095requestform@1095request.com

Phone: (317) 597-5628

Mailing Address: 1311 W 96th St, Suite 170, Indianapolis IN 46260