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Printable Form 1095-C Visalia California: What You Should Know

Annual Health Care Coverage Statements — CALR — CA.gov If you received a Form 1095-B or Form 1095-C from the State of California and you have questions, you are in the right place. Form 1094-C Employment Offer — ADP The Form 1094-C includes the following disclosures:  Employer provided health insurance coverage (Form 1095-C) Facts and figures about the health insurance coverage; Additional information such as the date of coverage (Form 1095-C) and the amount of coverage (Form 1095-C), if more than one policy may apply to the employer and your family; and An Explanation of Benefit and Amount (Form 1095-C), which states the benefit level and amount of your coverage or the amount and sources under which your plan is available.

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