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REQUEST FOR RELEASE OF MEDICAL RECORDS Requested from: Physician Name(s)/Medical Facility Address City State Released to: Tiffany Gorman, M.D. Christopher McConnell, PAC, MPH Amanda Schmitz, PAC 221
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The CASTrib120615 refers to a specific form related to the Patient Protection and Affordable Care Act (ACA), which aims to ensure health insurance coverage for individuals and promotes accessibility and affordability of healthcare.
Employers with 50 or more full-time equivalent employees are required to file the CASTrib120615 related to the Patient Protection and Affordable Care Act to report health insurance coverage information.
To fill out the CASTrib120615, employers must provide information about their health insurance plans, including details about covered employees and the type of coverage offered. It is important to follow IRS guidelines and ensure all required information is accurately reported.
The purpose of the CASTrib120615 is to report compliance with the ACA, ensuring that individuals have access to health insurance and to provide the IRS with information needed to administer health coverage provisions.
The CASTrib120615 requires reporting of details such as employer information, employee information, the type of health insurance coverage offered, and months of coverage provided to each employee.
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