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The Depository Trust Company. B #: 1095-15. Date: June 12, 2015. To: All Participants .... DCC POSITION PRINT OUT (DIVA. SCREENSHOT). COPY. N/A.
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How to fill out b 1095-15
How to fill out B 1095-15:
01
Start by entering your basic information in the designated spaces. This includes your name, address, and social security number.
02
Next, indicate your employer's information, including their name, address, and employer identification number (EIN).
03
Provide details about your health coverage. This includes the dates you were covered, the type of coverage you had, and the identification numbers associated with your coverage.
04
If you had any dependents who were also covered, provide their information as well. This includes their names, social security numbers, and dates of birth.
05
Make sure to accurately report any changes in your coverage throughout the year. If there were any gaps in coverage, include the dates of these gaps.
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Lastly, sign and date the form to certify that the information provided is accurate to the best of your knowledge.
Who needs B 1095-15:
01
Employers who offer self-insured health plans are required to provide Form B 1095-15 to covered individuals.
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Covered individuals include employees, retirees, and any other individuals who were enrolled in the health plan.
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The form is also necessary for individuals who enrolled in the health plan through the Health Insurance Marketplace or an insurance provider, as they need this information for their tax filing.
Note: It is recommended to consult with a tax professional or refer to the instructions provided with the form for specific guidance on filling out the B 1095-15 accurately.
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