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).

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Table of Contents

2018

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

2018 Schedule HC Instructions (PDF 140.55 KB)

Revised January 28, 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)