Q: What is a 1099-HC Form?
A: The form 1099-HC is a new Massachusetts form that serves as proof of health insurance coverage for MA adult (18 years and older )residents.
Q:What fields are covered in a 1099-HC Form
1 Name of insurance company or administrator
2 FID number of insurance co. or administrator
4 Name of subscriber
5 Date of birth
6 Subscriber number
7 Street address
11 Coverage effective date
12 Coverage through date
Name of dependent Date of birth Subscriber number Coverage effective date Coverage through date
Q:Do you have a sample 1099-HC Form?
A: Please check out this link:
Q:I am an employer and need to provide form 1099 HC to my employees. How can I obtain blank copies of the Form MA 1099-HC?
A:The Form MA 1099-HC is available on the MA DOR website: http://www.mass.gov/Ador/docs/dor/health%20care/1099_hc.pdf