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PRINTED: 03/16/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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The 0316 form is a document approved by the IRS used to report the health coverage an individual, employer, or insurance provider offers.
Employers, insurance providers, and individuals may be required to file the 0316 form approved depending on their specific situation.
To fill out the 0316 form approved, you will need to provide information about the health coverage offered, including the names and social security numbers of covered individuals.
The purpose of the 0316 form approved is to ensure compliance with the Affordable Care Act's requirement that individuals maintain minimum essential health coverage.
Information such as the names and social security numbers of covered individuals, the months they were covered, and the type of coverage offered must be reported on the 0316 form approved.
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