Get Ma 1099

The Ma 1099 is an essential form for reporting health care coverage in Massachusetts. This guide will provide you with clear, step-by-step instructions on how to fill out the form online, ensuring you meet all requirements effectively.

Follow the steps to complete and submit your Ma 1099 online.

1. Click ‘Get Form’ button to access the Ma 1099 form and open it in the editing interface.
2. In section 1, enter the name of the insurance company or administrator that provided your health coverage.
3. Fill in the FID number of the insurance company or administrator in section 2 to identify the entity responsible for reporting.
4. Complete section 4 by entering the name of the subscriber who holds the insurance policy.
5. Provide the subscriber's date of birth in section 5 to confirm their identity.
6. Enter the subscriber number in section 6, which is unique to the subscriber's insurance policy.
7. Input the street address in section 7, ensuring it matches the address on the insurance record.
8. Complete section 8 with the city or town where the subscriber resides.
9. In sections 9 and 10, fill in the state and zip code, respectively, for accurate location information.
10. Provide the coverage effective date in section 11, indicating when the coverage began.
11. If applicable, enter the coverage through date in section 12, indicating when the coverage ended.
12. For any dependents, enter their names, dates of birth, subscriber numbers, effective dates, and coverage through dates as required.
13. Once all information has been accurately filled out, you can save changes, download, print, or share the completed Ma 1099 form as needed.

Start filling out your Ma 1099 form online today to ensure your health coverage is reported accurately.