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Form 1094-B online Connecticut: What You Should Know

This form is sent to all the providers of Medicaid or Children's Health Insurance Program service, their agents, or their custodial parents. See DSS Form 1095-B: Form for the Health Care Coverage provided to Medicaid Participants, DSS Form 1095-B: Form for the Health Care Coverage provided to Children's Health Insurance Program Participants and DSS Form 1095-B: Form for the Health Care Coverage provided to Supplemental Security Income Program Participants. 1094-B Forms for Families 1094-B Filing Information, Department of Children and Families The Department of Children and Families (DCF) sends 1094-B Forms to every child in every Connecticut household from birth. These are the FAFSA and Free Application for Federal Student Aid (FAFSA). (This includes the DCF children who are adopted after January 1, 2014) 1095-B Forms, IRS The IRS Form 1095-B is sent by the DSS after each income tax return, so a copy is mailed to DSS before the income tax return is filed. 1095-B Forms, Department of Insurance DHS sends 1095-B forms to all the Medicaid providers in the state after the income tax return is filed. (This includes the DCF children who are adopted after January 1, 2014) 1096-B Forms, Department of Revenue The Department of Revenue also uses 1096-B Forms to send these forms with the annual tax return. Forms 2071, 772A, and 772B, Department of Revenue NOTE: As of July 1, 2014, the State of Connecticut revised the way income reported on these forms is collected and analyzed (e.g. they do not add up to a net tax). To see how it will look on a new income tax return and calculation of taxes due on those returns, use the IRS Publication 894. For the current income tax forms to use, we recommend that you use the current IRS Form 6166-A, Income Tax Returns for Business. 1096-B Forms, Department of Treasury 1096-B Forms, Department of Revenue NOTE: In December 2007, the FOR implemented changes to a number of income tax forms and the information reported on them. Please see the FOR Form 10004, Annual Reporting Information for Individuals, for details and an explanation of each of the changes.

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