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Midlothian ISD 100 Walter Stephenson Midlothian, TX 76065 972-775-8296 midlothian-isd.net December 17, 2014, Dear Parent/Guardian: This letter is to inform you about a recent decision made regarding
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Begin by writing the date in the top right corner of your document as "December 17, 2014". This indicates the specific day the letter is being written.
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December 17 is the deadline for filing the annual report of the health insurance coverage of a child, also known as Form 1095-B or Form 1095-C.
Health insurance providers and certain large employers are required to file Form 1095-B or Form 1095-C by December 17.
To fill out Form 1095-B or Form 1095-C, you need to report information about the health insurance coverage provided to individuals during the year.
The purpose of filing Form 1095-B or Form 1095-C is to report health insurance coverage information to the IRS and to individuals.
Information such as the names of individuals covered, the months of coverage, and the type of coverage must be reported on Form 1095-B or Form 1095-C.
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