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FO F 05 T r /1 FT 5 U B / 2 s D 0 I e n 2 O the 0 N NL r Na O y T l FI LEARDCaution: FT DRAFT FORM INTERNAL ONLYasofThis is an advance internal draft copy of a California tax form. It is subject to
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Publication 3895c is a tax document used by employers to report health insurance coverage provided to their employees as part of the Affordable Care Act (ACA) requirements.
Employers who are required to offer health insurance coverage under the Affordable Care Act must file publication 3895c if they meet the criteria for providing minimum essential coverage.
To fill out publication 3895c, employers need to provide information about the health plans they offer, the employees covered by those plans, and the months during which coverage was available.
The purpose of publication 3895c is to ensure compliance with the ACA by providing the necessary information regarding health coverage to both the IRS and affected employees.
Publication 3895c must report the employer's information, the employee's information, the type of health coverage offered, and the months during which the coverage was available.
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