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FOR BHF USELL1 2021STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2021) I.DPH License ID Number: Facility
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Obtain a copy of Form 1095 University Dr from the appropriate source
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Who needs 1095 university dr?

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Individuals who have received healthcare coverage through a university or academic institution may need to fill out Form 1095 University Dr for tax purposes.
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Employers, insurers, and other entities who provide healthcare coverage to individuals associated with universities may also be required to issue Form 1095 University Dr to recipients.
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