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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149 (expires 5312020×PART A: General Information When key parts of the health care law take effect

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Form Health refers to a specific documentation required for reporting health insurance coverage information to the IRS under the Affordable Care Act (ACA).

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Applicable large employers (ALEs), insurers, and other entities that provide health coverage must file Form Health to report health coverage provided to employees or individuals.

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The purpose of Form Health is to ensure compliance with the ACA by reporting the health insurance coverage provided to employees and individuals, assisting the IRS in enforcing the individual mandate.

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Information such as the covered individual's name, Social Security number, the months of coverage, and the type of coverage offered must be reported on Form Health.

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