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Information for Informative Return of Insurance Premium for Taxable Year 2020

Section 1063.16 of the Puerto Rico Internal Revenue Code, as amended, requires businesses receiving insurance premium payments to issue an Annual Informative Return (Form 480.7F) to its commercial clients.

For direct non-commercial customers or insureds, Triple-S Salud will only issue Form 480.7F to those who request it on or before January 31, 2021. For requests made after said date, Triple-S Salud will have 45 days from the date of the request to issue it, pursuant to section 1063.16(a)(1) of the Internal Revenue Code.

In order to complete and issue Form 480.7F to a direct (non-commercial) policyholder, Triple-S Salud must receive the following updated information on or before January 31, 2021.

Please fill in the following fields with your information. All fields are required.

Please do not include the first 3 letters. Just the 13 numbers

If you are an employer or self-employed individual, this is the information you need to prepare and file Form 480.7E.

Insurer Name Triple-S Salud, Inc.
Postal address of the insurer PO Box 363628
San Juan, PR 00936-3628
Postal address of the insurer #1441 F.D. Roosevelt Ave.
San Juan, PR 00920
Employer Identification Number 660-555677
787-277-6653 787-474-6326