Form 1095-B Pov Thawj ntawm Kev Pabcuam Kev Noj Qab Haus Huv
CEEB TOOM: Koj Daim Ntawv Foos 1095-B yog pov thawj ntawm kev pov hwm kev noj qab haus huv rau IRS thiab tsis tas yuav ua kom tiav lossis xa mus rau DHCS.
Thov khaws daim foos no rau koj cov ntaub ntawv. Txhawm rau kom nkag siab ntau ntxiv txog Tsoom Fwv Teb Chaws thiab Lub Xeev Txoj Cai Lij Choj, thov saib cov ntaub ntawv thiab cov ntawv txuas hauv qab no. Txoj Cai Tshiab California Tus Kheej Tus Kheej (SB 78) tau pib siv rau Lub Ib Hlis 1, 2020.
DHCS xa daim foos 1095-B rau cov tib neeg nrog MEC ntawm Medi-Cal rau lossis ua ntej Lub Ib Hlis 31 ntawm txhua xyoo.
Federal Individual Mandate
The Affordable Care Act (ACA) requires individuals to have health coverage that meets a minimum standard called Minimum Essential Coverage (MEC). This requirement is also known as the “ACA Individual Mandate” or “Federal Individual Mandate”.
Daim Ntawv 1095-B yuav tshaj tawm lub hli ntawm MEC tus neeg tau txais txiaj ntsig Medi-Cal tau txais nyob rau xyoo calendar. DHCS yuav xa koj cov ntaub ntawv MEC mus rau IRS thiab cov neeg tau txais txiaj ntsig tsis tas yuav muab Daim Ntawv 1095-B rau IRS, yog tias lawv xaiv ua lawv cov se. Cov neeg tau txais txiaj ntsig yuav tsum khaws Daim Ntawv 1095-B rau lawv cov ntaub ntawv pov thawj uas lawv tau txais kev pab them nqi kho mob thaum lub xyoo se.
Daim ntawv 1095-B tsis tas yuav ua kom tiav lossis xa mus rau DHCS.
Raws li Internal Revenue Code Section 6055, California Department of Health Care Services (DHCS) tau pib tshaj tawm Internal Revenue Service (IRS) Form 1095-B rau txhua tus neeg tau txais txiaj ntsig Medi-Cal txhua xyoo, pib lub Ib Hlis 2016.
For questions regarding this notice or for additional information regarding Form 1095-B, contact a live agent at DHCS’ Medi-Cal Helpline 1-844-253-0883.
Txhawm rau kom Daim Ntawv Foos 1095-B muaj cov ntaub ntawv raug, cov neeg tau txais txiaj ntsig yuav tsum hu rau lawv lub chaw pabcuam tib neeg hauv nroog kom tshaj tawm cov kev hloov pauv xws li lawv qhov chaw nyob tshiab, nyiaj tau los, kev ua haujlwm, lossis kev hloov pauv hauv tsev neeg. Kev tsis lees paub kev hloov pauv yuav ua rau ncua sijhawm thiab cov ntaub ntawv tsis raug ntawm Daim Ntawv 1095-B.
California Ib Tug Neeg Ua Haujlwm (SB 78)
Nrog rau kev tso cai ntawm California Senate Bill 78 [Tshooj 38, Txoj Cai ntawm 2019], California tau tsim ib txoj haujlwm rau tus kheej, los yog hu ua California Individual Mandate. Txoj cai no hais kom cov tib neeg muaj MEC lossis them nqi nplua rau Xeev California. Txoj cai feem ntau xav kom txhua tus neeg nyob hauv California yuav tsum tso npe rau hauv thiab tswj MEC pib txij Lub Ib Hlis 1, 2020. Cov neeg California uas tsis ua raws li qhov yuav tsum tau ua, lossis kev zam los ntawm qhov yuav tsum tau ua, yuav tsum them tus nqi nplua.
California Franchise Tax Board (FTB) is responsible for assessing the mandate and any potential penalties through the state tax filing process. For more information on California’s Health Care Mandate, visit FTB’s website using the link labeled California Individual Mandate (SB 78) under the Resources section.
Qauv Ntawv & Daim Ntawv 1095-B
DHCS’ Letters and Forms are produced in English and Spanish.
Qauv Daim Ntawv 1095-B: Daim ntawv no raug xa tuaj rau koj nrog rau ib tsab ntawm peb tsab ntawv qauv hauv qab no.
Khaws qhov no nrog koj lwm cov ntaub ntawv se. Koj tsis tas yuav xa rov qab rau DHCS.
NOTE: DHCS removes the first five digits of the beneficiary’s Social Security number and date of birth from the Form 1095-B to protect the identity of our beneficiaries.
Txhua qhov kev xa ntawv ntawm Daim Ntawv 1095-B yuav muaj ib tsab ntawv piav qhia lub hom phiaj ntawm Daim Ntawv 1095-B. DHCS siv peb tsab ntawv sib txawv thaum xa Daim Ntawv 1095-Bs:
Qauv Tsab Ntawv Thawj: Qhov no yog xa nrog daim ntawv 1095-Bs thawj rau ib xyoos them se. Nov yog tsab ntawv siv rau DHCS xa daim ntawv Form 1095-B txhua xyoo.
Qauv Tsab Ntawv Thawj (Lus Askiv)
Qauv Tsab Ntawv Thawj (Lus Mev)
Qauv Tsab Ntawv Rov Luam Dua: Qhov no raug xa nrog Daim Ntawv 1095-Bs uas tau luam dua thaum tus neeg tau txais txiaj ntsig thov kom luam dua rau ib xyoos them se.
Tsab Ntawv Rov Sau Dua Qauv (Lus Askiv)
Tsab Ntawv Rov Sau Dua Qauv (Lus Mev)
Tsab Ntawv Kho Qauv: Qhov no raug xa nrog Daim Ntawv 1095-Bs uas Kho Lawm thaum muaj kev hloov pauv tshwm sim ntawm cov ntaub ntawv Medi-Cal uas xav kom DHCS kho cov ntaub ntawv uas tau tshaj tawm yav dhau los ntawm Daim Ntawv 1095-B thawj rau ib xyoos them se.
Tsab Ntawv Kho Qauv (Lus Askiv)
Tsab Ntawv Kho Qauv (Lus Mev)
Daim Ntawv Ceeb Toom Qauv Rau Kev Ua Haujlwm Thov (NFRA): Daim ntawv ceeb toom no yog xa los ntawm DHCS los qhia rau cov neeg tau txais txiaj ntsig tias lawv cov ntaub ntawv Medi-Cal tej zaum yuav muaj cov ntaub ntawv tsis raug. Feem ntau, qhov yuam kev no yog vim lub npe thiab lub xeem thiab/lossis tus lej Social Security ntawm cov ntaub ntawv Medi-Cal tsis sib xws nrog qhov uas tau siv rau ntawm cov ntaub ntawv them se ntawm tsoomfwv.
Qauv NFRA (English)
Qauv NFRA (Spanish)
Cov peev txheej
- IRS Lub Vev Xaib
- Yog xav tau kev pab dawb txog kev ua se, nrhiav ib lub chaw VITA ze koj los ntawm kev hu rau koj lub zos 2-1-1. Txawm tias koj tsis tas yuav ua se los xij, tej zaum koj yuav xav ua li ntawd kom tau txais cov nyiaj se tau los ntawm tsoomfwv thiab lub xeev (EITC). Yog xav paub ntxiv txog EITC, mus saib:
Siv tus EITC Assistant | Internal Revenue Service (irs.gov) - Khwv tau nyiaj tau los Tax Credit Tshuab xam zauv | Nrhiav npaum li cas koj yuav tau rov qab | California Franchise Tax Board
- California Ib Tug Neeg Ua Haujlwm (SB 78)
Tiv tauj peb
Contact a live agent at our Medi-Cal Helpline at 1-844-253-0883.
Lub Tsev Haujlwm Hauv Nroog
Hu rau lub nroog cov chaw pabcuam tib neeg ncaj qha txhawm rau hloov kho koj qhov chaw nyob, nyiaj tau los, kev ua haujlwm lossis kev hloov pauv ntawm tsev neeg lossis tsev neeg.
Cov lus nug nquag
Nrhiav cov lus teb rau cov lus nug uas nquag nug ntawm Txoj Cai Saib Xyuas Nqis Nqis, kev tsim nyog, thiab kev hloov pauv hauv kev pab them nqi kho mob.