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HEALTH COVERAGE FORM DOUBLE WINDOW ACA
ENVELOPE
HEALTH COVERAGE FORM HEALTH COVERAGE
CONTINUATION
       
1095-C DWMR ACA 1095-C IRS 1095-C IRSC
       
       
       
TRANSMITTAL FORM TRANSMITTAL FORM PAGE 2 TRANSMITTAL FORM PAGE 3  
       
1094-C T 1094-C T2 1094-C T3