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The Archdiocese of Galveston-Houston
Coordination of Benefits Form (Under Age 65)
If you and/or your covered dependent(s) have the Archdiocesan Medical Plan Coverage and
Other Coverage, complete this
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What is under age 65?
Under age 65 refers to individuals who are younger than 65 years old.
Who is required to file under age 65?
Individuals under age 65 who meet certain income thresholds are required to file taxes.
How to fill out under age 65?
To fill out under age 65, individuals can use tax forms such as Form 1040 or electronic filing methods.
What is the purpose of under age 65?
The purpose of under age 65 is to report income and calculate tax liability for individuals who are not yet eligible for retirement benefits.
What information must be reported on under age 65?
Information such as income, deductions, credits, and other relevant financial details must be reported on under age 65.
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