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Printable Form 1095-A Charlotte North Carolina: What You Should Know

This is a different form from the 1095-A you have already filled out with the University. This form needs changes when it has the same information on it over a period of time, not when you fill it out with the University. Marketplace Coverage and the 1095-A Form — NC Get Covered You can also use Form 1095-A with a student, employee or family member enrolled in the Marketplace. This form is not required to be completed by any of the Marketplace's customers. However, if this person is receiving benefits through the University, you need this form with the same information you have on your original 1095-A. If the person's financial situation changes, you can update the information with the Health Insurance Marketplace, but your new application will not be processed when it meets the 1095-A requirements of your state. Marketplace Coverage and the 1095-A Form — NC Get Covered Obtained through the Marketplace Coverage and the 1095-A Form — NC Get Covered​ Obtained directly from the University You can see if you are eligible for Health Coverage through the University through Information on other University forms can be found at the links below​: Form 1098-T — Student Income Tax Receipts​ Income Tax Receipts​ Form 1098-G​ — Business Income Tax Receipts​ Form 1099-MISC​ — Miscellaneous Income​ Health Coverage Form — UNC Charlotte Obtained through the University The form, Form 1095, Health Insurance Plan Statement, covers coverage purchased from the Marketplace. Your insurance issuer is required to provide you with health coverage on your plan at the time you are prescribed services through the University for medical care. If you sign up for coverage through the University's Health Insurance Marketplace, you must fill out the form, Form 1095-A, or provide your coverage to the Marketplace for them to send that form to you.

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