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STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS OFFICE OF FINANCIAL AND INSURANCE REGULATION Before the Commissioner of Financial and Insurance Regulation In the matter of XXXIX Petitioner
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What is 121840001 blue cross blue?
121840001 blue cross blue is a tax form.
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Those who meet certain criteria, such as employers with self-insured health plans.
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The form can be filled out electronically or by paper. Visit the IRS website for instructions.
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The purpose is to report information about individuals covered under a health insurance plan.
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Information such as the taxpayer identification number of the employer and the covered individuals.
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