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Printable Form 1095-C Sugar Land Texas: What You Should Know

Employer Requirements — Employer Report (Form 1095-C) The new tax form 1095 forms to report the employer-provided health insurance plan for employees, who are covered in connection with the employer's Employer Requirements — Employer Report (Form 1095-B) The new tax forms 1095 forms to report the employer-provided health insurance plan for employees, who are covered in connection with the employer's  Other Forms 1095-C and 1095-B Requirements If you do not already know about the new tax forms, you will need to get your employer to report the following information by filing a Form 1095-C and Form 1095-B, the following information: Health coverage offered to employee(s) and the premium paid by employee(s). Date and reason the health coverage was offered, Amount of health coverage paid and the term of the coverage, Amount of health coverage provided, and Amount of a contribution toward or credit against the premiums of the coverage. This is to report the employee's coverage provided in connection with any employer-sponsored health insurance plan  Other Requirements If You Were Exposed to Lead Poisoning Other reporting requirements apply if you are exposed to lead, and you do not know if there are health insurance benefits to which you are entitled. To report the exposure to lead if you believe your right to  Exposure to Lead A Health Insurance Provider — Information Required: • For self-insured plans — the name of the health insurance provider and its address at time of offering the health • For plans offered through a group health plan and self-insured plans — the name of the medical plan provider and its address at time of offering the health insurance and the name and address of the other plan provider to which • For a health insurance plan on which premiums are based and an insurer who provides coverage The Employer Information System — Information Required: Employer: The name and address of the employer providing the health coverage Date of Coverage: The date and reason that the employer offered the health coverage. Employer: Name and Address of Medical Provider: The name and address of an individual doctor who provides the health coverage Employer: Name and Address of Health Plan Provider: The name and address of an individual physician who provides the health insurance. Taxpayer Identification Number: If required, provide the employer's federal TIN number and IRS identification number.

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