
Get the free new Marketplace and employment-based health coverage offered by your employer
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New Health Insurance Marketplace Coverage
Options and Your Health Coverage
PART A: General InformationForm Approved
OMB No. 12100149
(expires 5312020)When key parts of the health care law take effect
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01
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02
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03
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04
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05
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06
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What is new marketplace and employment-based?
The new marketplace and employment-based refers to the updated form for reporting marketplace coverage and employment-based health coverage.
Who is required to file new marketplace and employment-based?
Employers offering health coverage and insurers providing marketplace coverage are required to file new marketplace and employment-based.
How to fill out new marketplace and employment-based?
You can fill out the new marketplace and employment-based form online or manually by providing the required information about health coverage.
What is the purpose of new marketplace and employment-based?
The purpose of new marketplace and employment-based is to report information about health coverage provided to individuals and to the IRS.
What information must be reported on new marketplace and employment-based?
The new marketplace and employment-based form requires reporting information such as the names of covered individuals, coverage period, and cost of coverage.
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