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New Health Insurance Marketplace Coverage Options and Your Health CoverageForm Approved OMB No. 12100149 (expires 6302023)PART A: General Information When key parts of the health care law take effect
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What is this information is numbered?
This information is a report on financial expenses.
Who is required to file this information is numbered?
Any individual or business that incurred financial expenses.
How to fill out this information is numbered?
The information can be filled out online or on paper forms provided by the tax authority.
What is the purpose of this information is numbered?
The purpose is to track and report financial expenses for tax purposes.
What information must be reported on this information is numbered?
All financial expenses incurred during the tax year.
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