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Plan Overview & Documents

IRS Tax Form 1095-b


In compliance with the Affordable Care Act (ACA), all individuals covered under the Cornell Student Health Plan are required by law to furnish a taxpayer identification number to Cornell, either as a Social Security Number (SSN) or Individual Tax ID Number (ITIN). 

We use the taxpayer identification number when we submit completed 1095-b forms to the Internal Revenue Service (IRS) on behalf of all individuals who were enrolled in SHP or SHP Plus during that year. This reporting requirement verifies that plan members had insurance that provides minimum essential coverage.

If you need an electronic copy of your Tax Form 1095-b, you may request it here.

Please make sure that the University Registrar has your SSN or ITIN on record: Log in to your Student Essentials account to check that your SSN/ITIN number is listed correctly.

If you have not yet provided the Registrar with your SSN/ITIN, please do so by December 31 using one of the following methods:

  • In Person – Visit the Office of the University Registrar, located at 245 Day Hall, and bring a copy of your original social security card or taxpayer/ITIN letter and two forms of identification.
  • By Secure File Transfer – Take a picture of your SSN/ITIN card and login to Cornell’s SFTP system. Click “prepare upload” and select Go to, select as your recipient and upload an image of your card. Be sure to include a description of what you are sending in the notes section.

If you do not have an SSN or ITIN, please refer to this website for assistance.

International students: We understand that international students and their families who are not receiving fellowship payments or wages will not be eligible to apply for a SSN/ITIN, and therefore will not be able to supply this tax identification number to the university.

If you would like an electronic copy of your 1095-b form, please send an email to Please include your full name, 7-Digit Cornell ID, and enter “1095-B” in the subject line.

2023-2024 Plan Document

2022-2023 Plan Documents

Cost Sharing for Medical Services

  • Typical copays at other participating ("in-network") providers:
    • $25 for routine medical visits (tests and procedures will cost more)
    • $50 for urgent care visits (tests and procedures will cost more)
    • $10 for mental health visits
  • Emergency room care carries a $100 copay
  • No copay for medically necessary ambulance transports

For summary information on other services and services at out-of-network providers, refer to your 6-page SHP Summary of Benefits and Coverage. You can log in to the Aetna member website for cost estimates for common procedures, diagnostic tests, and office visits.

ID cards

COVID-19 testing/treatment

Finding participating providers

Prescription coverage