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EM 111026055
27 February 2015US Army Corps
of EngineersENGINEERING AND DESIGNInland Electronic Navigational Chart
Engineering ManualENGINEER MANUALCECWCE I COSTCO
Manual
No. 111026055EM 111026055DEPARTMENT
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01
To fill out ENG Form 6055, follow these steps:
02
Start by entering the name, address, and employer identification number (EIN) of the insurance provider or sponsor providing the minimum essential coverage (MEC).
03
Next, provide the contact information of the person responsible for the insurance or MEC program.
04
Enter the name, address, and social security number (SSN) of the covered individual. Repeat this for each individual covered under the MEC program.
05
Indicate the coverage start and end dates for each individual.
06
Note any gaps in coverage using the appropriate codes provided.
07
Provide any required additional information or explanations as instructed on the form.
08
Sign and date the form to certify its accuracy and completeness.
09
Submit the completed form to the designated agency by the specified deadline.
Who needs eng form 6055?
01
Individuals or entities that are responsible for providing minimum essential coverage (MEC) to individuals need ENG Form 6055.
02
This includes insurance providers, employers who self-insure, government agencies, and others.
03
Form 6055 is used to report information about individuals who are provided with MEC, as required under the Affordable Care Act (ACA).
04
It helps ensure compliance with ACA provisions and enables the IRS to administer the individual mandate penalty, if applicable.
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