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King Washington Form 1094-B: What You Should Know

Wash. Rev. Code § 7.84 (2) (D) & WAC 458-101-0 (1) (D) The employer is responsible for filing the Form 1094-B if a qualified family member is insured as an employee of the employer and if the amount of the annual premium for the health insurance coverage for the family member, which is included in the income and wages of an eligible individual and the eligible family member, are within 10,000 of the annual premium for the employer sponsored coverage for the eligible individual and the eligible family member, as determined for the calendar year in which the calendar year begins. If the premium amount is less than or equal to 10,000 the applicable premium for this class of insurance coverage is 10,000 and the employee's premium and a percentage of wages are taxable. The taxpayer shall include the premium amounts determined for any calendar year with the applicable income tax return for the previous calendar year if the information required to be reported on the return was received on or before January 31 of the succeeding calendar year. Form 8962—Determination of Exemption by Health Benefit Exchanges for Individuals and Family Members Enrolled in Medical Care Through Health Insurance Plans Offered by a Health Insurance Issuer (Health Care Filing for Deductible Medical Expenses) This guidance provides an alternative filing system for filing Form 8962 by an individual or family member enrolled in Medicaid who does not participate in the health insurer's health insurance plan. The health plan shall use Form 8962 to determine whether the individual or family member is exempt by reason of participation in an approved state-based health benefit plan pursuant to Sec. 1341. Form 8962, Eligibility Determination for Individuals and Family Members Eligible for Health Insurance Exchanges, is an online tool that enables state agencies and the Secretary to prepare an estimate of eligibility to participate in a state-based health benefit plan. It enables the state-based plan issuer to identify individuals and families who would be exempt by reason of participation in a health insurance plan, and it enables the Secretary to identify individuals and families who could qualify but who are exempt based on the state-based plan. The guidance provides guidelines as to the use and interpretation of Form 8962. How to Report a Gift to a Health Plan You can use Form 1099-G for a “nonpersonal” gift to a health plan.

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