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Cover America 3/11/03 2:20 PM Page 2 http://www.samsungyepp.com Samsung Electronics America Inc. 105 Challenger Road, Ridgefield Park, N.J. 07660 SERVICE DIVISION 400 Valley Road, Suite 201 Mount
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Open the Cover-America application form.
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What is cover-america?
Cover-America is a form used to report information about individuals who have coverage under the Affordable Care Act.
Who is required to file cover-america?
Employers and health insurance providers are required to file cover-america.
How to fill out cover-america?
Cover-America can be filled out electronically through the IRS website or using third-party software.
What is the purpose of cover-america?
The purpose of cover-america is to provide the IRS with information about individuals who have health coverage.
What information must be reported on cover-america?
Information such as the individual's name, Social Security number, and the months they were covered must be reported on cover-america.
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