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Massachusetts Free Printable  for 2024 Massachusetts Health Care Information Continuation Sheet

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Health Care Information Continuation Sheet
Schedule HC-CS

COMPLETE SCHEDULE HC-CS TO REPORT ADDITIONAL INSURANCE COMPANIES FIRST NAME M.I. LAST NAME SOCIAL SECURITY NUMBER Schedule HC-CS Health Care Information Continuation Sheet 2023 Complete Schedule HC-CS, Health Care Information Continuation Sheet, if you fill in the Full-Year MCC or Part-Year MCC oval(s) in line 3 of Schedule HC and had more than two private health insurance companies. Note: Your two most recent health insurance companies should be reported on Schedule HC, line(s) 4f and/or 4g. Fill out the information below, using Form MA 1099-HC, to report the information from your additional insurance companies. PART A. YOUR HEALTH INSURANCE 3. NAME OF THIRD INSURANCE COMPANY OR ADMINISTRATOR IF NECESSARY (from box 1 of Form MA 1099-HC) FEDERAL IDENTIFICATION NUMBER OF INSURANCE CO. (from box 2 of Form MA 1099-HC) SUBSCRIBER NUMBER (from Form MA 1099-HC) 4. NAME OF FOURTH INSURANCE COMPANY OR ADMINISTRATOR IF NECESSARY (from box 1 of Form MA 1099-HC) FEDERAL IDENTIFICATION NUMBER OF INSURANCE CO. (from box 2 of Form MA 1099-HC) SUBSCRIBER NUMBER (from Form MA 1099-HC) PART B. SPOUSE’S HEALTH INSURANCE (you must complete even if covered under same insurance plan) 3. NAME OF THIRD INSURANCE COMPANY OR ADMINISTRATOR IF NECESSARY FOR SPOUSE (from box 1 of Form MA 1099-HC) FEDERAL IDENTIFICATION NUMBER OF INSURANCE CO. (from box 2 of Form MA 1099-HC) SPOUSE’S SUBSCRIBER NUMBER (from Form MA 1099-HC) 4. NAME OF FOURTH INSURANCE COMPANY OR ADMINISTRATOR IF NECESSARY FOR SPOUSE (from box 1 of Form MA 1099-HC) FEDERAL IDENTIFICATION NUMBER OF INSURANCE CO. (from box 2 of Form MA 1099-HC) SPOUSE’S SUBSCRIBER NUMBER (from Form MA 1099-HC)
Extracted from PDF file 2023-massachusetts-schedule-hc-cs.pdf, last modified February 2023

More about the Massachusetts Schedule HC-CS Individual Income Tax TY 2023

Complete Schedule HC-CS, Health Care Information Continuation Sheet, if you fill in the Full-Year MCC or Part-Year MCC oval(s) in line 3 of Schedule HC and had more than two private health insurance companies.

We last updated the Health Care Information Continuation Sheet in January 2024, so this is the latest version of Schedule HC-CS, fully updated for tax year 2023. You can download or print current or past-year PDFs of Schedule HC-CS directly from TaxFormFinder. You can print other Massachusetts tax forms here.


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Related Massachusetts Individual Income Tax Forms:

TaxFormFinder has an additional 126 Massachusetts income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Massachusetts Schedule HC-CS.

Form Code Form Name
Schedule HC Health Care Information

Download all MA tax forms View all 127 Massachusetts Income Tax Forms


Form Sources:

Massachusetts usually releases forms for the current tax year between January and April. We last updated Massachusetts Schedule HC-CS from the Department of Revenue in January 2024.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Massachusetts Schedule HC-CS

We have a total of twelve past-year versions of Schedule HC-CS in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2016 Schedule HC-CS

Microsoft Word - HC-CS_Rev. 06_16.docx


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