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Contra Costa California Form 1095-A: What You Should Know

Also a copy of your enrollment card (the form you get by mail when enrollment is closed for membership renewals) Tax Forms and Filing: 1. The California Department of Insurance's Health Insurance Exchange Information. California forms the California state law mandate health insurance coverage be offered for those age 18 to 26. It is the responsibility of the enrolled to verify insurance coverage at the time of enrollment. The form that enrolls a young person in the California Health Benefit Exchange's Basic Health Plan and an older adult in a Medical plan is the CA Health Benefit Exchange Form G-15. Information about filing your California State individual Income Tax (Forms 1040, 1040A, 1040EZ) or California Franchise Tax Return (Form G5) with the California Department of Tax and Fee Administration (CDTF) is available at the CDTF website.

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