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UNIVERSITY OF MASSACHUSETTS Amherst Boston Dartmouth Lowell Worcester Health Insurance Responsibility Disclosure (THIRD) Form Please complete the first section of this form and give it to every employee
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Who needs hird form:

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Employers in certain jurisdictions may be required to complete and submit hird forms. The specific regulations vary depending on the location and applicable laws.
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The blank HIRD form is a document used by employers to report health insurance offerings and costs to employees, specifically related to the Affordable Care Act.
Employers with 50 or more full-time equivalent employees are required to file the blank HIRD form as part of their compliance with health insurance regulations.
To fill out the blank HIRD form, employers need to gather information about their health insurance plans, employee enrollment, and costs, and then complete the form by entering the relevant data in the designated sections.
The purpose of the blank HIRD form is to provide transparency regarding employer-sponsored health insurance offerings and to ensure compliance with federal health care laws.
The blank HIRD form must report information such as employer details, information about the health insurance plans offered, the number of employees enrolled, and related costs or premiums.
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