Mass service-details1095-b-and-1099-hc1095-B and 1099-HC tax formMass-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of your insurance company or administrator in the designated field.
3. Input the FID number of the insurance company or administrator for identification purposes.
4. Fill in the subscriber's name and date of birth accurately to ensure correct identification.
5. Enter the subscriber number, followed by the street address, city/town, state, and zip code.
6. Indicate whether you had full-year minimum creditable coverage by selecting 'Yes' or 'No'. If 'No', check the months during which you had minimum creditable coverage.
7. For each dependent listed, provide their name, date of birth, and indicate their coverage status for each month as needed.

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