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5050VOIDCORRECTEDFORM 1097BTC ISSUER\'S name, street address, city or town, state or province, country, ZIP or foreign postal code, and telephone no.1OMB No. 15452197Total$2018 2a Conform 1097BTC 2b
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Form 1097-BTC is used to report the furnishing of a qualifying health coverage month to a taxpayer.
Insurance companies, governmental units, and employers who sponsor self-insured group health plans are required to file Form 1097-BTC.
Form 1097-BTC should be filled out with the issuer's taxpayer identification number, name, address, and the number of individuals covered by the policy.
The purpose of Form 1097-BTC is to report the number of months a taxpayer has qualifying health coverage.
Information such as the taxpayer identification number, name, address of the issuer, and the number of months of qualifying health coverage must be reported on Form 1097-BTC.
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