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Printable Form 1095-C Long Beach California: What You Should Know

B: If you are filing the form online, please be advised your first five attempts should be for online processing. If at any time you find the Form 1095-C is not being processed, please contact your local branch office. C: Please be advised all Forms 1095-C are being updated to include the most comprehensive coverage for tax year 2024 and that we will continue to make that determination on an ongoing basis. If you experience any issues for which you are not aware of the correct information or are not receiving information on a timely basis due to a change in your employer's insurance coverage or if you have questions, please contact your local branch office. D: Information on the California Medical Care Quality and Transparency Act was also recently updated. E: California Revised Statutes, Section 24400 does not require the employer coverage, but it does allow the employee to request that the employer provide the coverage. This also applies if the employee is receiving the health care through the employer's coverage, as long as it is not a government plan.  F: A Form 1095-B or 1095-C also includes information about your health care coverage. If your employer provides health benefits to you through your plan or through a group health plan of a health insurer, and you also receive employer coverage on this plan, you can use the form to obtain those other forms from your employer. G: You may also obtain information about your coverage, such as if any co-pays are not deductible, on your most recent paycheck. If you choose to purchase health insurance outside an employer plan or a group policy through your own employer, you should provide a copy of the forms or your receipts to your insurance company prior to submitting the claim. For further information concerning the tax implications of having a health insurance plan, you should refer to the Health Insurance Marketplace or contact your personal tax advisor. For questions regarding the application and processing of Form 1095-C, you may contact: The California Division of Insurance 1020 West PICO Boulevard, CIC-11001 Los Angeles, CA 90035 Phone: TTY: Filing Requirements For Certain Medical Coverage You may also complete the Form 1095-C to provide your coverage for medical expenses related to your disability or for other specific medical expenses that the employee would otherwise be required to pay.

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