Massachusetts Individual Mandate Massachusetts Health Care Coverage

Individual Mandate Massachusetts Health Care Coverage
Form MA 1099-HC2023

Form MA 1099-HC
Individual Mandate
Massachusetts Health Care Coverage

Massachusetts
Department of
Revenue

1. Name of insurance company or administrator 		

2. FID number of insurance co. or administrator

3. Name of subscriber 	

4. Date of birth 	

5. Subscriber number

6. Street address 	

7. City/Town 	

8. State 	

9. Zip

Full-year minimum creditable coverage?	 If No, indicate months with minimum creditable coverage: 	

● Yes  ● No	
a. Name of dependent 	

Date of birth 	

Subscriber number

Full-year minimum creditable coverage?	 If No, indicate months with minimum creditable coverage: 	

● Yes  ● No	
b. Name of dependent 	

c. Name of dependent 	

Date of birth 	

Subscriber number

d. Name of dependent 	

Date of birth 	

Subscriber number
Corrected:

● Jan.  ● Feb.  ● Mar.  ● Apr.  ● May.  ● June  ● July  ● Aug.  ● Sept.  ● Oct.  ● Nov.  ● Dec.
Date of birth 	

Subscriber number

Full-year minimum creditable coverage?	 If No, indicate months with minimum creditable coverage: 	

● Yes  ● No	

Corrected:

● Jan.  ● Feb.  ● Mar.  ● Apr.  ● May.  ● June  ● July  ●Aug.  ● Sept.  ● Oct.  ● Nov.  ● Dec.

Full-year minimum creditable coverage?	 If No, indicate months with minimum creditable coverage: 	

● Yes  ● No	

Corrected:

● Jan.  ● Feb.  ● Mar.  ● Apr.  ● May.  ● June  ● July  ● Aug.  ● Sept.  ● Oct.  ● Nov.  ● Dec.

Full-year minimum creditable coverage?	 If No, indicate months with minimum creditable coverage: 	

● Yes  ● No	

Corrected:

● Jan.  ● Feb.  ● Mar.  ● Apr.  ● May.  ● June  ● July  ● Aug.  ● Sept.  ● Oct.  ● Nov.  ● Dec.

● Jan.  ● Feb.  ● Mar.  ● Apr.  ● May.  ● June  ● July  ● Aug.  ● Sept.  ● Oct.  ● Nov.  ● Dec.

Corrected:

Extracted from PDF file 2023-massachusetts-form-ma-1099-hc.pdf, last modified February 2023

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More about the Massachusetts Form MA 1099-HC Individual Income Tax TY 2023

We last updated the Individual Mandate Massachusetts Health Care Coverage in January 2024, so this is the latest version of Form MA 1099-HC, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form MA 1099-HC directly from TaxFormFinder. You can print other Massachusetts tax forms here.

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Other Massachusetts Individual Income Tax Forms:

TaxFormFinder has an additional 126 Massachusetts income tax forms that you may need, plus all federal income tax forms.

Form Code	Form Name
Form 1	Resident Income Tax Return Tax Return
Form 1-NR/PY	Nonresident or Part-Year Resident Income Tax Return Tax Return
Form 1-ES Instructions	Estimated Income Tax Forms & Instructions Estimated
Form M-4868	Application for Automatic Six-Month Extension of Time to File Massachusetts Income Tax Return Extension
Form 1 Instructions	Individual Income Tax Instructions

Download all MA tax forms View all 127 Massachusetts Income Tax Forms

Form Sources:

Massachusetts usually releases forms for the current tax year between January and April. We last updated Massachusetts Form MA 1099-HC from the Department of Revenue in January 2024.

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About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Massachusetts Form MA 1099-HC

We have a total of three past-year versions of Form MA 1099-HC in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2023 Form MA 1099-HC

2022 Form MA 1099-HC

2021 Form MA 1099-HC

MA 1099-HC

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While we do our best to keep our list of Massachusetts Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.