offered by
Massachusetts Department of Revenue

DOR Health Care Forms

Here you will find health care forms administered by the Massachusetts Department of Revenue (DOR).
Skip table of contents

Table of Contents

2018

2018 Schedule HC: Health Care Information (PDF 100.6 KB)

2018 Schedule HC Instructions (PDF 139.28 KB)

Revised June 10, 2019; changes noted on file

2018 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 109.13 KB)

2018 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 64.84 KB)

2017

2017 Schedule HC: Health Care Information (PDF 93.76 KB)
2017 Schedule HC Instructions (PDF 153.32 KB)
2017 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 117.73 KB)
2017 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 64.84 KB)

2016

2016 Schedule HC: Health Care Information (PDF 981.1 KB)
2016 Schedule HC Instructions (PDF 646.5 KB)
2016 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 120.65 KB)
2016 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 447.04 KB)

2015

2015 Schedule HC: Health Care Information (PDF 978.92 KB)
2015 Schedule HC Instructions (PDF 246.24 KB)
2015 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 120.37 KB)
2015 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 65.87 KB)

2014

2014 Schedule HC: Health Care Information (PDF 962.5 KB)
2014 Schedule HC Instructions (PDF 153.79 KB)
2014 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 115.76 KB)
2014 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 97.22 KB)

2013

2013 Schedule HC: Health Care Information (PDF 444.2 KB)
2013 Schedule HC Instructions (PDF 173.14 KB)
2013 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 53.86 KB)
2013 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 91.8 KB)

2012

2012 Schedule HC: Health Care Information (PDF 895.63 KB)
2012 Schedule HC Instructions (PDF 85.38 KB)
2012 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 92.86 KB)
2012 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 88.66 KB)

2011

2011 Schedule HC: Health Care Information (PDF 198.02 KB)
2011 Schedule HC Instructions (PDF 83.67 KB)
2011 Schedule HC-CS: Health Care Information Continuation Sheet (PDF 53.23 KB)
2011 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (PDF 51.36 KB)
Feedback