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P A C I F I CM E D I C A LC E N T E RS PATIENT RESOURCE GUIDE SIMPLY THE RIGHT Malcontents Welcome to Packed 1 Your Medical Home2 A
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Simply Form Right Care is a form used to report healthcare coverage information to the IRS.
Employers who provide healthcare coverage to their employees are required to file Simply Form Right Care.
Simply Form Right Care can be filled out electronically or by paper. It requires information about the employer, employee, and the healthcare coverage provided.
The purpose of Simply Form Right Care is to report healthcare coverage information to the IRS and to ensure compliance with the Affordable Care Act.
Information such as the employer's name and EIN, the employee's name and SSN, and details about the healthcare coverage provided must be reported on Simply Form Right Care.
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