Hc-1 2026

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436 quarterly withholding reconciliation Preview on Page 1

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  1. Click ‘Get Form’ to open the Hc-1 in the editor.
  2. Begin by entering your Employer FEIN and the reporting Quarter/Year at the top of the form.
  3. Indicate whether you had 5 or more full-time equivalent (FTE) employees in the previous quarter by checking 'Yes' or 'No'. If 'No', check the box to certify that no contributions are due.
  4. If you answered 'Yes', complete either Section 1 or Section 2 based on your health care coverage offerings. For Section 1, enter total hours worked by uncovered employees. For Section 2, provide hours for employees who were offered coverage but did not accept, and those not eligible for coverage.
  5. Proceed to Section 3: Calculations. Enter total hours from Section 1 or Lines 1 and 2 from Section 2. Calculate your unadjusted FTE count by dividing this number by 520.
  6. Complete the remaining calculations as instructed, ensuring all fields are filled accurately before saving your work.

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