{"id":8501,"date":"2026-01-18T12:13:31","date_gmt":"2026-01-18T16:13:31","guid":{"rendered":"https:\/\/jcinsurancepartners.com\/newweb\/?p=8501"},"modified":"2026-08-05T08:21:38","modified_gmt":"2026-08-05T12:21:38","slug":"obten-forma-1095-a","status":"publish","type":"post","link":"https:\/\/jcinsurancepartners.com\/newweb\/obten-forma-1095-a\/","title":{"rendered":"Obt\u00e9n forma 1095\/A"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"8501\" class=\"elementor elementor-8501\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7c6b5d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7c6b5d6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6bb015c\" data-id=\"6bb015c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-922b910 elementor-widget elementor-widget-theme-site-logo elementor-widget-image\" data-id=\"922b910\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"theme-site-logo.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-image\">\n\t\t\t\t\t\t\t\t<a href=\"https:\/\/jcinsurancepartners.com\/newweb\">\n\t\t\t<img decoding=\"async\" width=\"280\" height=\"109\" src=\"https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/uploads\/2023\/06\/Preloader.png\" class=\"attachment-full size-full wp-image-7360\" alt=\"\" \/>\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f5b058 elementor-widget elementor-widget-spacer\" data-id=\"7f5b058\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-967b2df elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"967b2df\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a444f4c\" data-id=\"a444f4c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dfb40cc elementor-widget elementor-widget-image\" data-id=\"dfb40cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/uploads\/2026\/01\/Obten-forma-1095a-solicitud-768x432.jpeg\" class=\"attachment-medium_large size-medium_large wp-image-8534\" alt=\"\" srcset=\"https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/uploads\/2026\/01\/Obten-forma-1095a-solicitud-768x432.jpeg 768w, https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/uploads\/2026\/01\/Obten-forma-1095a-solicitud-300x169.jpeg 300w, https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/uploads\/2026\/01\/Obten-forma-1095a-solicitud-1024x576.jpeg 1024w, https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/uploads\/2026\/01\/Obten-forma-1095a-solicitud.jpeg 1080w\" sizes=\"(max-width: 768px) 100vw, 768px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-390e843 elementor-widget elementor-widget-heading\" data-id=\"390e843\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Complete la informacion que requerimos y en breve momento nos comunicaremos con usted para este proceso<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ccf6074 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ccf6074\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65f9bf8\" data-id=\"65f9bf8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f1bf016 elementor-widget elementor-widget-wpforms\" data-id=\"f1bf016\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-elementor-widget-f1bf016\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-f1bf016 {\n\t\t\t\t--wpforms-button-background-color: #60ABAF;\n--wpforms-label-size-font-size: 14px;\n--wpforms-label-size-line-height: 17px;\n--wpforms-label-size-sublabel-font-size: 13px;\n--wpforms-label-size-sublabel-line-height: 16px;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-8506\"><form id=\"wpforms-form-8506\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"8506\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/newweb\/wp-json\/wp\/v2\/posts\/8501\" data-token=\"60bc2b05beebe7d0ae91f83d001d1cc2\" data-token-time=\"1789494415\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-8506-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_1\">Nombre del titular de la p\u00f3liza <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8506-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-8506-field_1-error\" required><\/div><div id=\"wpforms-8506-field_4-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_4\">Fecha de nacimiento <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-8506-field_4\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][4][date]\" aria-errormessage=\"wpforms-8506-field_4-error\" required><a title=\"Borrar fecha\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Borrar fecha\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-8506-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_7\">Social Security <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8506-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-8506-field_7-error\" required><\/div>\t\t<div id=\"wpforms-8506-field_5-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"5\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-8506-field_5\" >residencia electr\u00f3nico del<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-8506-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-8506-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_10\">Estado de residencia <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-8506-field_10\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-8506-field_10-error\" required><\/div><div id=\"wpforms-8506-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_2\">Correo electr\u00f3nico <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-8506-field_2\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-8506-field_2-error\" required><\/div><div id=\"wpforms-8506-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_11\">Tel\u00e9fono Celular <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-8506-field_11\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-label=\"Tel\u00e9fono Celular\" aria-errormessage=\"wpforms-8506-field_11-error\" required><\/div><div id=\"wpforms-8506-field_3-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-type=\"textarea\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-8506-field_3\">Comentario o mensaje<\/label><textarea id=\"wpforms-8506-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-8506-field_3-error\" ><\/textarea><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-8506-field_5-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-8506-field_5-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-8506-field_5-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"8506\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/posts\/8501\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-8506\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><img decoding=\"async\" src=\"https:\/\/jcinsurancepartners.com\/newweb\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Cargando\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b25ef0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b25ef0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-080d91e\" data-id=\"080d91e\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ada0ee4 elementor-widget__width-initial elementor-absolute elementor-hidden-tablet elementor-hidden-phone elementor-widget elementor-widget-text-editor\" data-id=\"ada0ee4\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_position&quot;:&quot;absolute&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>O<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b8d60a7 ekit-signup\" data-id=\"b8d60a7\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c3ab12d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c3ab12d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ed4457c\" data-id=\"ed4457c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3bc88a0 elementor-widget elementor-widget-spacer\" data-id=\"3bc88a0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0779ca2 elementor-widget elementor-widget-text-editor\" data-id=\"0779ca2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/jcinsurancepartners.com\/newweb\">www.jcinsurancepartners.com<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e904944 elementor-widget elementor-widget-spacer\" data-id=\"e904944\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Complete la informacion que requerimos y en breve momento nos comunicaremos con usted para este proceso Por favor, activa JavaScript en tu navegador para completar este formulario.Por favor, activa JavaScript en tu navegador para completar este formulario.Nombre del titular de la p\u00f3liza *Fecha de nacimiento *Social Security *Estado de residencia *Correo electr\u00f3nico *Tel\u00e9fono Celular * [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8539,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"elementor_canvas","format":"image","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-8501","post","type-post","status-publish","format-image","has-post-thumbnail","hentry","category-life-insurance","post_format-post-format-image"],"_links":{"self":[{"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/posts\/8501","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/comments?post=8501"}],"version-history":[{"count":20,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/posts\/8501\/revisions"}],"predecessor-version":[{"id":8540,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/posts\/8501\/revisions\/8540"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/media\/8539"}],"wp:attachment":[{"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/media?parent=8501"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/categories?post=8501"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jcinsurancepartners.com\/newweb\/wp-json\/wp\/v2\/tags?post=8501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}