This government document is issued by California Health Benefit Exchange for use in California
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https://www.google.com/url?client=internal-element-cse&cx=009854164935538441977:yzlo2be1knm&q=https://hbex.coveredca.com/toolkit/pdfs/1095-A_Quick_Guide_Final.pdf&sa=U&ved=2ahUKEwivzfG_qKPyAhWJz4sKHZi0Bsg4ChAWMAB6BAgFEAI&usg=AOvVaw2FGSKuaimM7A7gr3Ca69oa