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Get and Sign Www Mass Govservice Details1095 B and 1099 Hc1095 B and 1099 HC Tax FormMass Gov 2020
FID number of insurance co. or administrator 3. Name of subscriber 4. Date of birth 5. Subscriber number 6. Form MA 1099-HC Individual Mandate Massachusetts Health Care Coverage 1. Name of insurance company or administrator Department of Revenue 2. Street address 7. City/Town 8. State 9. Zip Full-year minimum creditable coverage If No check months with minimum creditable coverage Yes No a. Name of dependent Jan. Feb. ...
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