Instructions For Form 1099-H - 2017 Page 2

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Regulations section 301.6724-1. For more information on
Boxes 3 Through 14—Amount of Advance
penalties, see part O in the 2018 General Instructions for
Payment(s) Included in Box 1
Certain Information Returns.
Enter the amount of the advance payment received for
each month in the applicable box. You may receive these
Box 1—Amount of HCTC Advance Payments
payments prior to the month for which they are paid. Be
Enter the total amount of advance payments of health
sure to enter the amounts in the correct box.
insurance premiums received on behalf of the recipient for
the period January 1, 2018, through December 31, 2018.
The amount received for 2018 cannot exceed 72.5% of
the total health insurance premium for the individual.
Box 2—No. of Mos. HCTC Payments Received
Enter the number of months payments were received on
behalf of the recipient. This number cannot be more than
12.
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Instructions for Form 1099-H (2018)

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