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FOR OF USELL1 2000STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2000)I.DPH Facility ID Number: Facility Name:0032797II.IMPORTANT
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Sharon Health Care Willows is a form used to report health care coverage information to the IRS.
Employers who provide health care coverage and certain entities that provide minimum essential coverage are required to file Sharon Health Care Willows.
Sharon Health Care Willows can be filled out electronically or by paper. The form requires information about the employer, covered individuals, and health care coverage offered.
The purpose of Sharon Health Care Willows is to provide the IRS with information about health care coverage provided to individuals and to assist in enforcing the individual mandate of the Affordable Care Act.
Information such as the employer's identification number, names of covered individuals, their Social Security numbers, and the months they were covered must be reported on Sharon Health Care Willows.
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