About Form 8963, Report of Health Insurance Provider Information


Notice: Historical Content

This is an archival or historical document and may not reflect current law, policies or procedures.

This form allows insurance providers to report net premiums written for health insurance of United States health risks. The information reported will be used by the IRS to calculate the annual fee on health insurance providers.

Recent Developments

The Further Consolidated Appropriations Act, 2020, repealed the annual fee on health insurance provides for calendar years beginning after December 31, 2020 (fee years after the 2020 fee year).

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