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I. 'HCS w State of CaliforniaHealth and Human Services Agency Department of Health Care Services EDMUND G. BROWN JR. GOVERNOR JENNIFER KENT DIRECTOR 9/30/2016 Ms. Henrietta Sam Louie Associate Regional
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i39hcs - dhcs is a form used for reporting healthcare coverage information to the IRS.
Employers who provide healthcare coverage to their employees are required to file i39hcs - dhcs.
i39hcs - dhcs can be filled out electronically or on paper. Employers need to provide information about the healthcare coverage offered to employees.
The purpose of i39hcs - dhcs is to report healthcare coverage information to the IRS and to employees.
Information such as the employer's name and address, the names and social security numbers of covered individuals, and the months of coverage must be reported on i39hcs - dhcs.
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