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ACA Form Filing 2018 Addendum Title 17 & Title 39 HIC and Major Medical Products1Company Name: NAIL #:SERFS Tracking #:Form #s:Instructions: 1. Applicable for both Ohio Revised Code Title 17 & Title
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Gather all the necessary information and documents such as Social Security numbers, income statements, and health insurance coverage details.
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The ACA Form Filing Addendum is a supplemental form used to provide additional information related to ACA reporting.
Employers and health insurance providers required to report under the ACA may be required to file the ACA Form Filing Addendum.
The ACA Form Filing Addendum should be filled out with the necessary information and attached to the appropriate ACA reporting forms.
The purpose of the ACA Form Filing Addendum is to provide additional details and clarification for ACA reporting requirements.
The ACA Form Filing Addendum may require additional information about coverage, enrollment, and other ACA-related details.
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