Example: dental hygienist
Caution: DRAFT—NOT FOR FILING
DO NOT FILE July 11, 2018 DRAFT AS OF 120218 Form 1094-C (2018) Page 2 Part III ALE Member Information—Monthly (a) Minimum Essential Coverage Offer Indicator Yes No (b) Section 4980H Full-Time Employee Count for ALE Member
Download Caution: DRAFT—NOT FOR FILING
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