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LEXINGTON H.S. COMMUNITY SERVICE FORM (Please go to lps.lexingtonma.org/page/1383 for guidelines)Instructions: Complete all sections print legiblyPLEASE RETURN FORM TO ROOM 705Student Name: Homeroom:
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Lexington h is a form used to report health coverage information to the IRS.
Employers with self-insured health plans are required to file lexington h.
Lexington h can be filled out electronically or on paper with the required information about health coverage.
The purpose of lexington h is to provide information to the IRS about individuals covered under health insurance plans.
Information such as the individual's name, social security number, and months of coverage must be reported on lexington h.
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