In Massachusetts, maintaining health care coverage is not just a matter of personal and public health importance; it is also a legal requirement. The Form MA 1099-HC plays a pivotal role in this framework, serving as a key document that substantiates an individual's compliance with the state's health care coverage mandate for the year 2020. Issued by the Massachusetts Department of Revenue, this form details essential information regarding the health insurance coverage of residents. Specifically, it lists the name and Federal Identification Number (FID) of the insurance company or administrator, alongside the subscriber's information including their name, date of birth, subscriber number, and address. More importantly, it documents whether the subscriber and any dependents have maintained "minimum creditable coverage" throughout the year and, if not, for which months the coverage was held. This determination of coverage adequacy is crucial, as it impacts compliance with state health insurance mandates and involves potential tax implications for the residents involved. For families, the form provides a section to list dependents, documenting their coverage status in a similar fashion. Filled with specific and comprehensive details, the form ensures transparency and accountability in the pursuit of statewide health coverage objectives.
Question | Answer |
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Form Name | Form Ma 1099 Hc |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | www.mass.govservice-details1095-b-and-1099-hc1095-B and 1099-HC tax formMass.gov |
Form MA
IndividualMandate
MassachusettsHealthCareCoverage
2020
Massachusetts
Department of
Revenue
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Name of insurance company or administrator |
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FID number of insurance co. or administrator |
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Name of subscriber |
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Date of birth |
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Subscriber number |
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Street address |
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City/Town |
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State |
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If No, check months with minimum creditable coverage: |
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Corrected: |
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a.Name of dependent |
Date of birth |
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Subscriber number |
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If No, check months with minimum creditable coverage: |
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Corrected: |
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Yes |
No |
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b.Name of dependent |
Date of birth |
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Subscriber number |
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If No, check months with minimum creditable coverage: |
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Corrected: |
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No |
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Jan. |
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c.Name of dependent |
Date of birth |
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Subscriber number |
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If No, check months with minimum creditable coverage: |
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Corrected: |
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Yes |
No |
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d.Name of dependent |
Date of birth |
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Subscriber number |
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If No, check months with minimum creditable coverage: |
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Corrected: |
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Yes |
No |
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Jan. |
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Apr. |
May |
June |
July |
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Nov. |
Dec. |