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FOR CITY USE ONLY: City of Astoria 1095 Duane Astoria, OR 97103 Permit No.: Print Form Date Paid: Amt Paid: Engineering Department 5033385173 Community Development Department 5033385183 Fax 5033386838
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City of Astoria 1095 is a form used to report information about individuals who were offered and/or enrolled in health coverage through the employer.
Employers with 50 or more full-time employees, including full-time equivalent employees, are required to file City of Astoria 1095 forms.
City of Astoria 1095 forms can be filled out manually or electronically. Employers need to provide information about the employer, coverage offered, and covered individuals.
The purpose of City of Astoria 1095 is to provide information to the IRS about the health coverage offered by the employer and to determine compliance with the Affordable Care Act.
Information such as employer details, employee details, coverage offered, and covered individuals must be reported on City of Astoria 1095 forms.
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