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H A C K L E Y S C H O O L Tarry town, New York 10591 T. 914.366.2642 F. 914.366.2636 MATH TEACHER RECOMMENDATION N A M E O F G R A D E S 5 1 2 C A N D I DAT E P R E S E N T G R A D E Please return
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HACK stands for Health Coverage Affordability Worksheet.
Individuals who apply for or receive premium tax credits to help pay for their health insurance coverage are required to file the Health Coverage Affordability Worksheet.
The Health Coverage Affordability Worksheet can be filled out online through the healthcare marketplace website or by completing a paper form and submitting it by mail.
The purpose of the Health Coverage Affordability Worksheet is to determine if an individual qualifies for premium tax credits based on their income and household composition.
The Health Coverage Affordability Worksheet requires information about income, household size, and other factors that impact the affordability of health insurance coverage.
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