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    What is California form 3853?2023 California Form 3853 Health Coverage Exemptions and Individual Shared Responsibility Penalty Author [email protected] Subject 2023 California Form 3853, Health Coverage Exemptions and Individual Shared Responsibility Penalty Created Date 12/19/2023 3:11:14 PM
    What if I indicate a coverage exemption on form 3853?If the taxpayer is indicating one or more coverage exemptions on Form 3853, don't choose one of these three unless the taxpayer has a corresponding Exemption Certificate Number (ECN) from the Marketplace or has a pending application for an ECN: Coverage considered unaffordable based on projected income (exemption code M).
    What is FTB 3853?This number is needed on Form FTB 3853, Health Coverage Exemptions and Individual Shared Responsibility Penalty, to prove that Covered California granted you an exemption from the penalty. If you disagree with our decision about your eligibility for an exemption you can file an appeal or a complaint.
    Do I need to report a coverage exemption on form FTB 3853?Coverage exemptions that apply to multiple years. If you were granted a coverage exemption by the Marketplace that applies to multiple years, you only need to report it on form FTB 3853 if the exemption occurs during the 2023 tax year. Lines 1–12 Name of Individual
  3. Desktop: California Form 3853 - Health Coverage Exemptions

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