Form preview

IRS 1099-H 2019 free printable template

Get Form
Future Developments For the latest information about developments related to Form 1099-H and its instructions such as legislation enacted after they were published go to 1099-H Copy C Issuer/Provider To complete Form 1099-H use Returns and the 2018 Instructions for Form 1099-H. 1220. Need help If you have questions about reporting on Form 1099-H call the information reporting customer service site toll free at 866-455-7438 or 304-263-8700 not toll free. 2 No. of mos. HCTC payments received OMB...No. 1545-1813 Form 1099-H RECIPIENT S TIN RECIPIENT S name Street address including apt. no. City or town state or province country and ZIP or foreign postal code Cat. No. 34912D 3 Jan. 9 July 4 Feb. VOID CORRECTED ISSUER S/PROVIDER S name street address city or town state or province 1 Amount of HCTC advance payments country ZIP or foreign postal code and telephone no. 10 Aug. 5 Mar* 11 Sept. 6 Apr* 12 Oct. 7 May 13 Nov* 8 June 14 Dec* www*irs*gov/Form1099H Health Coverage Tax Credit HCTC...Advance Payments Copy A For Internal Revenue Service Center For Privacy Act and Paperwork Reduction Act Notice see the 2018 General Instructions for Certain Information Returns. Department of the Treasury - Internal Revenue Service Do Not Cut or Separate Forms on This Page Do Not Cut or Separate Forms on This Page CORRECTED if checked payments and reimbursement credits paid to you keep for your records Copy B For Recipient This is important tax information and is being furnished to the IRS*...This statement is provided to you because you received of your health coverage insurance premiums. These health insurance provider. You are qualified to receive adjustment assistance TAA recipient an Alternative TAA ATAA recipient a Reemployment TAA RTAA recipient or a Pension Benefit Guaranty Corporation PBGC pension payee. See Form 8885 Health Coverage Tax Credit and its instructions for more details on qualified recipients and how to figure any credit that you may be able to take on your Form...1040 1040NR 1040-SS or 1040-PR* Recipient s taxpayer identification number TIN. For your protection this form may show only the last four digits of your TIN social security number SSN individual taxpayer identification number ITIN or adoption taxpayer identification number ATIN. However the issuer has reported your complete TIN to the IRS* Box 1. Shows the total amount of HCTC advance payments of qualified health insurance costs that were made on your behalf* HCTC payments. Boxes 3 through 14....Shows the amount of HCTC total of the amounts shown in these boxes equals the amount shown in box 1. To order these instructions and additional forms go to Due dates. Furnish Copy B of this form to the recipient by January 31 2019. File Copy A of this form with the IRS electronically by April 1 2019. To file electronically you must have software that generates a file according to the specifications in Pub. Persons with a hearing or speech disability with access to TTY/TDD equipment can call...304-579-4827 not toll free.
pdfFiller is not affiliated with IRS
Screenshot
Screenshot
Screenshot

Get, Create, Make, and Sign 1099 h form

Edit your 1099 h form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Screenshot
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Screenshot
Share your form instantly
Email, fax, or share your 1099 h form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Screenshot

Instructions and Help about IRS 1099-H

How to edit IRS 1099-H

Edit IRS 1099-H forms using tools that allow for easy modification of text fields. Ensure all information is current and accurate prior to submission, as incorrect information may delay processing. To edit the form, upload a PDF version to your editing tool; then adjust as necessary before finalizing.

How to fill out IRS 1099-H

Filling out IRS 1099-H involves specific steps to ensure compliance with tax regulations. Begin by gathering all necessary information such as payer and payee tax identification numbers, and the amounts paid for health insurance premiums. Follow these precise guidelines to complete the form:
01
Open the IRS 1099-H form in your editing tool.
02
Enter your name and employer identification number (EIN) in the designated fields.
03
Provide the recipient's name, address, and tax identification number.
04
Report health insurance amounts in the specified boxes.
05
Review for accuracy and save the completed form.

About IRS 1099-H 2019 previous version

What is IRS 1099-H?

IRS 1099-H is a tax form used to report certain payments made for health insurance premiums. This form is issued by certain government agencies to inform the IRS about the amounts taxpayers received for health-related tax credits or assistance. It is crucial for tax compliance and helps in verifying income claims related to health insurance premium tax credits.

What is the purpose of this form?

The purpose of IRS 1099-H is to provide information regarding health coverage tax credits (HCTCs) and to assist taxpayers in reporting these amounts accurately on their federal income tax returns. This ensures that taxpayers can claim the correct tax benefits associated with their health insurance premiums.

Who needs the form?

Taxpayers who receive health insurance premiums must use IRS 1099-H to report these amounts. Specifically, individuals who qualify for health coverage tax credits will receive this form from their employers or associated agencies. It is essential for those who participate in certain health programs or state health exchanges.

When am I exempt from filling out this form?

You may be exempt from filling out IRS 1099-H if you did not receive any health insurance premium payments, or if your health coverage did not qualify under the guidelines requiring this reporting. Additionally, certain income thresholds and eligibility criteria might exempt you from needing to report certain payments.

Components of the form

The IRS 1099-H form contains several key components including payer, recipient information, and the amounts paid for health insurance premiums. Each box must be filled out accurately to ensure the IRS receives clear reporting of tax credits. Properly identifying the payer's and recipient's details is vital to prevent delays.

What payments and purchases are reported?

IRS 1099-H reports specific payments related to health insurance premiums made on behalf of the taxpayer. This includes amounts related to premiums paid for health coverage that qualifies for the health coverage tax credit. Accurate reporting is critical for ensuring you receive the proper tax deductions or credits.

How many copies of the form should I complete?

You should complete multiple copies of the IRS 1099-H form as needed. Generally, one copy must be sent to the IRS, and another should be provided for the recipient. If you have multiple payees, ensure to create separate forms for each to maintain clarity and compliance.

What are the penalties for not issuing the form?

Failure to issue IRS 1099-H can result in penalties imposed by the IRS. These penalties may vary based on how late the form is provided or if it is completely omitted. It is important to adhere to reporting guidelines to avoid unnecessary fines and complications during audits.

What information do you need when you file the form?

When filing IRS 1099-H, collect essential information such as your name, tax identification number, the recipient's name and tax identification information, and the amounts paid for health insurance. Accurate record-keeping is necessary to ensure that all details align with IRS requirements, reducing the chances of errors.

Is the form accompanied by other forms?

IRS 1099-H may need to be filed alongside other forms depending on specific tax situations. Some taxpayers might require additional documentation, such as Form 1040, to report income accurately on their federal return. Always check current IRS guidelines for any changes.

Where do I send the form?

Send the completed IRS 1099-H form to the IRS address specified for your geographic location. The addresses may vary, so consult the current IRS instructions for the correct mailing addresses based on your state. Keeping accurate records of submitted forms is essential for compliance.
See what our users say
Trust Seal
Trust Seal
Trust Seal
Trust Seal
Trust Seal
Trust Seal
Trust Seal
Trust Seal
Rate free form
4.1
satisfied
45 votes