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Code 10.95 REGISTRATION FORM (please use copies of this form for additional delegates) Refresher Day on Obstetric Anesthesia and Analgesia: 13 October 2010 Surname/Family Name:. First name:. Title:
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1095 reg only is a form used to report information about individuals covered by the employer-sponsored group health insurance plan.
Employers with 50 or more full-time employees are required to file 1095 reg only.
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The purpose of 1095 reg only is to provide individuals with information about their health insurance coverage for tax reporting purposes.
Information such as the names, social security numbers, and months of coverage for each individual covered by the health insurance plan must be reported on 1095 reg only.
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