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CA 3853 page 2

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📝 Coverage and Exemption Codes (Monthly)

There are two available fields to enter coverage and/or exemption codes for each month in January through December for each individual.

Enter one coverage or exemption code per field.

 

Step 1: Enter Coverage Code

Use this when you need to enter a coverage code for a month.

Enter Z, if you and/or another member of your applicable household is considered to have MEC for any, or all, months in 2020/2021 enter coverage code.

"Z" in Part III on form FTB 3853.

 

Step 2: Enter Exemption Code

Use this when you need to enter an exemption code for a month.

The list of exemption codes is in the F1 help under CA codes

Tags: state,form