Continuation Coverage Form For Taxes

Category:
State:
Multi-State
Control #:
US-322EM
Format:
Word; 
Rich Text
Instant download

Description

The Continuation Coverage Form for Taxes, specifically the COBRA Continuation Coverage Election Form, is designed for individuals to elect continued health coverage under federal law. Users have 60 days from receiving the notice to complete and return the form to participate. This ensures they do not lose the right to COBRA coverage, which can be critical for maintaining healthcare benefits after employment ends. The form requires users to provide personal details, including names, relationships, dates of birth, and coverage options selected. It can be submitted by mail or other specified means, and must be post-marked by a certain deadline. If the user changes their mind after initially rejecting coverage, they may still elect COBRA as long as they submit the completed form by the due date. The form also includes vital information regarding user rights, helping to ensure compliance with legal requirements. This form is particularly useful for attorneys, partners, owners, associates, paralegals, and legal assistants who assist clients with healthcare benefits and continuity after job loss. By using this form, the target audience can help clients navigate their options effectively and ensure timely compliance with COBRA regulations.
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How to fill out COBRA Continuation Coverage Election Form?

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FAQ

What should I do with my Form 1095-C? Keep your 1095-C for your records with your other important tax documents. While you will not need to attach your 1095-C to your tax return or send it to the IRS, you may use information from your 1095-C to help complete your tax return.

Yes, you may self-attest your coverage while filing your state and/or federal taxes before getting your Form 1095-B. Please note that the Internal Revenue Service (IRS) or Franchise Tax Board (FTB) may require proof of your coverage by requesting a copy of your Form 1095-B.

No. You do not need to include Form 1095-B with your federal or state tax return. But, the IRS and the California State Franchise Tax Board suggest that you save it with your tax records.

Do not attach Form 1095-B to your tax return - keep it with your tax records. Certain employees of applicable large employers (See next column). Form 1095-C provides information about the health coverage offered by your employer and, in some cases, about whether you enrolled in this coverage.

If you have more than one Form 1095-A, add the amounts together and enter the total on Form 8962, line 11, column (a). This amount is the total of your enrollment premiums for the year, including the portion paid by APTC (Advance Premium Tax Credit).

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Continuation Coverage Form For Taxes