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Get the free 1.095 Name Statement Requirement (VC 1652)

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STATE OF CALIFORNIA Department of Motor VehiclesQUOTE DUE DATE: January 22, 2024 Supplier name and address: Contact: Phone: Fax: Name (Print): ___ Title: ___ Signature: ___ Date: ___ Federal Employer
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How to fill out 1095 name statement requirement

01
Gather all necessary information such as name, address, and Social Security Number.
02
Fill out the form with accurate and up-to-date information.
03
Double check the form for any errors or missing information.
04
Submit the completed form to the appropriate organization or individual.

Who needs 1095 name statement requirement?

01
Individuals who receive health insurance coverage through the Affordable Care Act (ACA) marketplace.
02
Employers who offer health insurance to their employees.
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The 1095 name statement requirement refers to the obligation of employers and health coverage providers to report information about health coverage offered to employees and individuals under the Affordable Care Act (ACA).
Applicable large employers (ALEs) and health insurance issuers must file 1095 forms to report health coverage information to the IRS and individuals.
To fill out the 1095 form, employers and health coverage providers must provide detailed information including the names and tax identification numbers of covered individuals, the months they were covered, and other required details specified by the IRS.
The purpose of the 1095 name statement requirement is to ensure compliance with the ACA mandate, allowing the IRS to verify individuals' health coverage and eligibility for premium tax credits.
Information that must be reported includes the provider's name, address, and Employer Identification Number (EIN), as well as the covered individual's name, Social Security number, and the months of coverage.
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