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MA DoR 1099-HC 2015 free printable template

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Form MA 1099-HC Individual Mandate Massachusetts Health Care Coverage 1. Name of insurance company or administrator Department of Revenue 2. FID number of insurance co. or administrator 3. Name of subscriber 4. Date of birth 6. Street address 7. City/Town 5. Subscriber number 8. State 9. Zip Full-year minimum creditable coverage If No check months with minimum creditable coverage Yes No a* Name of dependent Jan* Feb. FID number of insurance co. or administrator 3. Name of subscriber 4. Date...
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How to fill out MA DoR 1099-HC

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How to fill out MA DoR 1099-HC

01
Obtain the MA DoR 1099-HC form from the Massachusetts Department of Revenue website or your tax provider.
02
Fill in your taxpayer identification number, which is usually your Social Security Number.
03
Provide the name and address of the health insurance provider in the appropriate sections.
04
Enter your health insurance policy number.
05
Indicate the months during which you were covered by the insurance in the designated fields.
06
Review all information for accuracy.
07
Submit the completed form to the Massachusetts Department of Revenue by the required deadline.

Who needs MA DoR 1099-HC?

01
Individuals who had health insurance coverage in Massachusetts during the tax year.
02
Taxpayers who are required to prove their health insurance coverage under Massachusetts state law.
03
Anyone who received health insurance coverage through their employer or purchased it individually in Massachusetts.
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If we send you MA 1099-HC, you will need it to fill out your state income tax return. Like the federal 1095-B form, the 1099-HC shows each month you had MassHealth coverage in 2022. Important: If you do not receive a 1099-HC form, you do not need it to fill out your state income tax return.
If you can't find your 1099-HC, you can call us at (866) 682-6745; TDD/TTY: 711 for a replacement copy. You can also contact the MassHealth Customer Service Center at (866) 682-6745; TDD/TTY: 711. You will need your MassHealth member ID, last name, and date of birth to request your Form 1095-B.
FORM 1099-HC (REQUIRED FOR MASS. STATE TAX RETURN) Form 1099-HC is needed to complete your MA state tax return. This form serves as proof of health insurance coverage for Massachusetts residents age 18 and older.
What is the difference between Form 1095-A and Form 1099-HC? Form 1095-A is a federal tax document, while Form 1099-HC is a Massachusetts state tax document. Both forms report the months someone had health insurance the previous year.
Form 1095-B and 1099-HC are tax documents that show you had health insurance coverage considered Minimum Essential Coverage during the last tax year.

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MA DoR 1099-HC is a tax form used in Massachusetts to report health insurance coverage to the Department of Revenue. It is specifically used to verify that individuals had health insurance coverage for the reporting year, as per the state's health care law.
Employers providing health insurance coverage, along with insurance companies and other entities offering health plans, are required to file MA DoR 1099-HC for individuals that were covered under their plans during the tax year.
To fill out MA DoR 1099-HC, you need to provide details such as the name and address of the covered individual, the identification number of the provider, the months of coverage, and any other required information according to the instructions provided by the Massachusetts Department of Revenue.
The purpose of MA DoR 1099-HC is to serve as a record for the state and individuals to confirm that they had qualifying health insurance coverage, thereby fulfilling the requirements of the Massachusetts health care law and aiding in tax filings.
The information that must be reported on MA DoR 1099-HC includes the name and address of the covered individual, the taxpayer identification number, months of coverage, the provider's information, and any other details outlined in the form's instructions.
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