Loading
Get Ma Dor 1099-hc 2022-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the MA DoR 1099-HC online
The MA DoR 1099-HC form is essential for reporting health care coverage in Massachusetts. This guide provides step-by-step instructions for users to complete the form accurately and efficiently online.
Follow the steps to fill out the MA DoR 1099-HC online
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the name of the insurance company or administrator in the first field.
- Provide the Federal Identification Number (FID) of the insurance company or administrator in the second field.
- Fill in the name of the subscriber in the fourth field.
- Input the subscriber's date of birth in the designated space.
- Add the subscriber number in the next field.
- Complete the street address of the subscriber.
- Enter the city or town of the subscriber's residence.
- List the state of residence in the relevant section.
- Provide the zip code of the subscriber's address.
- Indicate whether the subscriber had full-year minimum creditable coverage by selecting 'Yes' or 'No.' If 'No,' check the months during which minimum creditable coverage was held.
- For dependents, repeat steps 4-11 for each dependent by entering their name, date of birth, subscriber number, and creditable coverage status.
- Complete any necessary corrections by indicating the months that require adjustments.
- Once all fields are filled, save changes, download, print, or share the completed form as needed.
Begin filling out your MA DoR 1099-HC online today!
As a health insurance carrier (including MassHealth, Commonwealth Care, or Commonwealth Care Bridge), you are legally required to issue Forms MA 1099-HC to your subscribers no later than January 31 of the following year. There is no standardized format for the Form MA 1099-HC. It may vary depending on carrier.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.