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Name as shown on Form 120, 120S, 120X, or 165. Employer Identification Number. 1 Revenue aircraft miles flown within Arizona for flights beginning or ending ...
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Arizona BFormB Sch ACA is a form used for reporting certain information about health coverage provided to individuals.
Employers who provide self-insured health coverage are required to file Arizona BFormB Sch ACA.
Arizona BFormB Sch ACA can be filled out online or by paper form, by providing information about the health coverage provided.
The purpose of Arizona BFormB Sch ACA is to report information about health coverage provided to individuals.
Information such as the individuals covered, the months of coverage, and the type of coverage provided must be reported on Arizona BFormB Sch ACA.
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