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Form 1095 B for Waterbury Connecticut: What You Should Know

Health benefits or qualified Health benefit plans. This form contains information about an individual's eligibility for and amount of the individual's health care coverage under an individual health care requirement. Form 1095-B may also be used as an additional form to report information about individuals who are exempt from the individual health care requirement because they do not have a qualifying health plan or are not covered by a qualifying health plan. Form 1095-B Health Coverage— IRS Forms 1095-B is used for reporting coverage under health insurance coverage in an amount equal to the dollar amount in a box provided. This form is used to request and determine information about an individual (the individual's name, age, address, family size, current insurance policyholder status, and coverage status) for which the taxpayer received a health benefits check. A taxpayer may request information from the issuer or insurer responsible for paying for health care coverage of the individual. The following types of information may be requested from the issuer or the insurer responsible for paying for the coverage: • name of the company and, if a subsidiary, the initials of the individual or, if the company is a subsidiary of another entity, the name of the company that is responsible for paying for the individual's coverage; • current name, address and employment and tax status of the individual; • date of birth or taxpayer identification number of the individual; • amount of the individual's coverage; • number of covered medical expenses or the total amount of such expenses in the tax year; • the individual's current and total health insurance coverage; • the premium amount of the individual's health benefits coverage; • number of people who are covered under the individual's coverage; • individual's household income. You can view the Form 1095-B online; go directly to the CT Department of Social Services website. The Connecticut Department of Social Services website has information about Social Security Administration forms such as the Social Security numbers on Form SS-4 and Form SS-5. These form pages also provide information on other forms and related forms, such as the Form 1094-B and the Form 1094 Form 1095-B. The IRS will also require a taxpayer to provide certain information when filing a federal tax return. This includes tax return information about your tax return form information on line 17 of the Social Security Form W-2.

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