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 ntawv no rau koj cov ntaub ntawv. Yog xav paub ntxiv txog Tsoom Fwv Teb Chaws thiab Xeev Cov Cai rau Tus Kheej, thov saib cov ntaub ntawv thiab cov kev sib txuas hauv qab no. Txoj Cai Tshiab ntawm California Individual Mandate (SB 78) tau pib siv rau lub Ib Hlis Ntuj hnub tim 1 20200,.​​ 

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​​ 

Txoj Cai Lij Choj Saib Xyuas Kev Noj Qab Haus Huv Pheej Yig (ACA) yuav tsum kom cov tib neeg muaj kev pov hwm kho mob uas ua tau raws li tus qauv tsawg kawg nkaus hu ua Minimum Essential Coverage (MEC). Qhov kev cai no kuj tseem hu ua "ACA Individual Mandate" lossis "Federal Identity Mandate".​​ 

Daim Ntawv 1095-B yuav qhia txog cov hlis uas MEC tus neeg tau txais Medi-Cal tau txais thaum lub xyoo. 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 los ua lawv cov se. Cov neeg tau txais txiaj ntsig yuav tsum khaws daim ntawv 1095-B rau lawv cov ntaub ntawv ua pov thawj tias lawv tau txais kev pov hwm kev noj qab haus huv thaum lub xyoo them se.​​ 

Daim Ntawv 1095-B tsis tas yuav tsum 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.​​ 

Yog tias koj muaj lus nug txog daim ntawv ceeb toom no lossis yog xav paub ntxiv txog daim ntawv 1095-B, hu rau tus neeg sawv cev ntawm DHCS' Medi-Cal Helpline 1-844-253-0883.​​ 

Yuav kom ntseeg tau tias Daim Ntawv 1095-B muaj cov ntaub ntawv raug, cov neeg tau txais txiaj ntsig yuav tsum tiv tauj lawv lub koom haum pabcuam tib neeg hauv nroog kom qhia txog kev hloov pauv xws li lawv qhov chaw nyob tshiab, cov nyiaj tau los, kev ua haujlwm, lossis kev hloov pauv hauv tsev neeg. Yog tsis qhia txog kev hloov pauv yuav ua rau muaj kev ncua sijhawm thiab cov ntaub ntawv tsis raug ntawm Daim Ntawv 1095-B.​​ 

Kev Txiav Txim Rau Tus Kheej Hauv California (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.​​ 

Pawg Neeg Saib Xyuas Se Franchise ntawm California (FTB) yog tus saib xyuas kev soj ntsuam qhov kev txib thiab txhua yam kev nplua uas yuav muaj los ntawm cov txheej txheem ua ntaub ntawv them se ntawm lub xeev. Yog xav paub ntxiv txog California Txoj Cai Saib Xyuas Kev Noj Qab Haus Huv, mus saib FTB lub vev xaib siv qhov txuas hu ua California Individual Mandate (SB 78) nyob rau hauv seem Resources.​​ 

Qauv Ntawv & Daim Ntawv 1095-B​​ 

Cov Ntawv thiab Daim Ntawv ntawm DHCS yog tsim ua lus Askiv thiab lus Mev.​​ 

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.​​ 

LUS CEEV: DHCS tshem tawm tsib tus lej thawj zaug ntawm tus neeg tau txais txiaj ntsig tus lej Social Security thiab hnub yug ntawm Daim Ntawv 1095-B los tiv thaiv tus kheej ntawm peb cov neeg tau txais txiaj ntsig.​​ 

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 Rau Kev Ua Haujlwm Uas Tau 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)​​