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Form 1095-A for Burbank California: What You Should Know

You will see a blank section on the form you are filling out and your 2023 premiums. If there is a blank space, that will automatically fill it in. If there isn't a blank space, you must select the number(s) you choose on the form. (For example, if you select 10 or 30, your form will fill out the number 10.) What is the difference between an Exchange Membership and a health plan? An Exchange Membership is only required to maintain the service at an Exchange located in a state where you purchased health insurance; an Exchange Membership is an added benefit only. You will need an Exchange Membership to be eligible to receive health insurance coverage. An Exchange Plan is required to be maintained by your employer at your current location unless you request a change and the exchange approves you request (to maintain your current health insurance coverage). The policy must be valid throughout your entire coverage year. Can the Exchange membership be transferred to another individual? 路 Yes. To prevent an individual from using his/her plan to obtain coverage from the Exchange and to ensure that the plan continues to be maintained by the primary plan purchaser at the place of employment, Exchange Members may request to be transferred to a plan maintained by their new employer as long as that employer has an Exchange that is located within one of the Exchange Members Service Areas. If you are eligible for the Exchange and your employer does not maintain an exchange coverage, or it isn't available; then Exchange Members can continue to maintain their existing health insurance at the same provider by either moving up to the next lowest cost option, or by obtaining coverage through an employer who does maintain an exchange. Who qualifies for an Exchange Membership? 路 Members who received a tax ID number from the California State Department of Revenue may purchase a plan by entering the tax ID number provided by the California State Department of Revenue.路 Members who received a tax ID number from the Department of Veterans Affairs may purchase a plan by entering the tax ID number provided by the Department of Veterans Affairs. These tax ID numbers are based on military classification and must be used as a proof of tax identification status.路 Members who received a tax ID number from the Board of Equalization can purchase a plan by entering the tax ID number provided by the Board of Equalization. What is a tax ID number? 路 A tax ID number provides a person with the individual identification number they require enrolling in a health insurance plan.路 Each person is assigned a tax ID number by the California Department of Revenue.

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