Massachusetts Health Care Tax Schedules and Forms

DRAFT 2023

Open PDF file, 795.69 KB,  DRAFT 2023 Schedule HC: Health Care Information (English, PDF 795.69 KB)

Open PDF file, 731.82 KB,  DRAFT 2023 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 731.82 KB)

Open PDF file, 742.44 KB,  DRAFT 2023 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 742.44 KB)

2022

Open PDF file, 124.96 KB,  2022 Schedule HC: Health Care Information (English, PDF 124.96 KB)

Open PDF file, 1012.72 KB,  2022 Schedule HC Instructions (English, PDF 1012.72 KB)

Open PDF file, 57.23 KB,  2022 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 57.23 KB)

Open PDF file, 71.59 KB,  2022 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 71.59 KB)

2021

Open PDF file, 125.84 KB,  2021 Schedule HC: Health Care Information (English, PDF 125.84 KB)

Open PDF file, 1012.5 KB,  2021 Schedule HC Instructions (English, PDF 1012.5 KB)

Open PDF file, 56.54 KB,  2021 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 56.54 KB)

Open PDF file, 70.3 KB,  2021 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 70.3 KB)

2020

Open PDF file, 93.14 KB,  2020 Schedule HC: Health Care Information (English, PDF 93.14 KB)

Open PDF file, 969.95 KB,  2020 Schedule HC Instructions (English, PDF 969.95 KB)

Open PDF file, 100.55 KB,  2020 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 100.55 KB)

Open PDF file, 62.21 KB,  2020 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 62.21 KB)

2019

Open PDF file, 93.19 KB,  2019 Schedule HC: Health Care Information (English, PDF 93.19 KB)

Open PDF file, 130.57 KB,  2019 Schedule HC Instructions (English, PDF 130.57 KB)

Open PDF file, 99.92 KB,  2019 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 99.92 KB)

Open PDF file, 60.44 KB,  2019 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 60.44 KB)

2018

Open PDF file, 100.6 KB,  2018 Schedule HC: Health Care Information (English, PDF 100.6 KB)

Open PDF file, 139.28 KB,  2018 Schedule HC Instructions (English, PDF 139.28 KB)

Revised June 10, 2019; changes noted on file

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

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

2017

Open PDF file, 93.76 KB,  2017 Schedule HC: Health Care Information (English, PDF 93.76 KB)

Open PDF file, 153.32 KB,  2017 Schedule HC Instructions (English, PDF 153.32 KB)

Open PDF file, 117.73 KB,  2017 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 117.73 KB)

Open PDF file, 64.84 KB,  2017 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 64.84 KB)

2016

Open PDF file, 981.1 KB,  2016 Schedule HC: Health Care Information (English, PDF 981.1 KB)

Open PDF file, 646.5 KB,  2016 Schedule HC Instructions (English, PDF 646.5 KB)

Open PDF file, 120.65 KB,  2016 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 120.65 KB)

Open PDF file, 447.04 KB,  2016 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 447.04 KB)

2015

Open PDF file, 978.92 KB,  2015 Schedule HC: Health Care Information (English, PDF 978.92 KB)

Open PDF file, 246.24 KB,  2015 Schedule HC Instructions (English, PDF 246.24 KB)

Open PDF file, 120.37 KB,  2015 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 120.37 KB)

Open PDF file, 65.87 KB,  2015 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 65.87 KB)

2014

Open PDF file, 962.5 KB,  2014 Schedule HC: Health Care Information (English, PDF 962.5 KB)

Open PDF file, 153.79 KB,  2014 Schedule HC Instructions (English, PDF 153.79 KB)

Open PDF file, 115.76 KB,  2014 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 115.76 KB)

Open PDF file, 97.22 KB,  2014 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 97.22 KB)

2013

Open PDF file, 444.2 KB,  2013 Schedule HC: Health Care Information (English, PDF 444.2 KB)

Open PDF file, 173.14 KB,  2013 Schedule HC Instructions (English, PDF 173.14 KB)

Open PDF file, 53.86 KB,  2013 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 53.86 KB)

Open PDF file, 91.8 KB,  2013 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 91.8 KB)

2012

Open PDF file, 895.63 KB,  2012 Schedule HC: Health Care Information (English, PDF 895.63 KB)

Open PDF file, 85.38 KB,  2012 Schedule HC Instructions (English, PDF 85.38 KB)

Open PDF file, 92.86 KB,  2012 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 92.86 KB)

Open PDF file, 88.66 KB,  2012 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 88.66 KB)

2011

Open PDF file, 198.02 KB,  2011 Schedule HC: Health Care Information (English, PDF 198.02 KB)

Open PDF file, 83.67 KB,  2011 Schedule HC Instructions (English, PDF 83.67 KB)

Open PDF file, 53.23 KB,  2011 Schedule HC-CS: Health Care Information Continuation Sheet (English, PDF 53.23 KB)

Open PDF file, 51.36 KB,  2011 Form MA 1099-HC: Individual Mandate Massachusetts Health Care Coverage (English, PDF 51.36 KB)

Contact

DOR Contact

+

Phone

Tax Department (617) 887-6367

Toll-free in Massachusetts (800) 392-6089

9 a.m.–4 p.m., Monday through Friday

Online

Contact DOR 

Log in to MassTaxConnect 

Sign up for DOR updates 

Translation Help 

Request forms in another format from the Problem Resolution Office

+

Phone

(617) 626-3833

Online

prohelp@dor.state.ma.us

Individuals with disabilities 

Translation Help 

Address

Massachusetts Department of Revenue
Problem Resolution Office P.O. Box 9552
Boston, MA 02114

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