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- Click ‘Get Form’ to open the MA 1099-HC in the editor.
- Begin by entering the name of your insurance company or administrator in the designated field at the top of the form.
- Next, input the FID number of your insurance company or administrator. This is crucial for identification purposes.
- Fill in your name as the subscriber, followed by your date of birth and street address. Ensure all personal information is accurate.
- Provide your subscriber number, city/town, state, and zip code in their respective fields.
- Indicate whether you had full-year minimum creditable coverage by selecting 'Yes' or 'No'. If 'No', check the months you had minimum creditable coverage.
- For each dependent, repeat steps 4 to 6, ensuring to include their names and dates of birth as well as their coverage details.
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| 2011 | 4 Satisfied (52 Votes) |
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by MM Alexander 2012 Cited by 4 Taxpayers use Form MA 1099-HC, as an attachment to Form 1, to indicate compliance with the mandate. HC currently in use in Massachusetts.
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