Fillable 1095 b form 2016-2017

Description of form 1095 b
560116 Form 1095-B Department of the Treasury Internal Revenue Service Part I VOID Health Coverage Do not attach to your tax return. Keep for your records. If you or another family member received employer-sponsored coverage that coverage may be reported on a Form 1095-C Part III rather than a Form 1095-B. Cat. No. 60704B Form 1095-B 2016 Page 2 Instructions for Recipient This Form 1095-B provides information...
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IRS 1095-B Form Versions

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