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EMPLOYEE BENEFITSHRFocus February 2009 Issue 20www. Willis.nonlegal & COMPLIANCE 2009 VERSION OF MASSACHUSETTS THIRD FORM RELEASED The Commonwealth of Massachusetts Division of Health Care Finance
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How to fill out massachusetts hird

How to fill out Massachusetts HIRD:
01
Obtain the Massachusetts HIRD form: The Massachusetts HIRD (Health Insurance Responsibility Disclosure) form can be downloaded from the official website of the Massachusetts Department of Revenue or requested directly from your employer.
02
Provide basic employer information: The form requires the employer's name, address, and employer identification number (EIN). Ensure that these details are accurately provided.
03
Account for employee health insurance coverage: The Massachusetts HIRD form is used to collect information about employee health insurance coverage. You will need to report the number of employees who are offered health insurance, the number who accept it, and the number who waive it.
04
Determine which months the form applies to: The form is to be completed for each calendar year. Ensure that you indicate the months to which the information on the form pertains.
05
Submit the completed form: Once all the necessary information is provided, submit the completed Massachusetts HIRD form to the Massachusetts Department of Revenue.
Who needs Massachusetts HIRD:
01
Employers in Massachusetts: The Massachusetts HIRD form is mandatory for employers in Massachusetts. Whether you are a business owner, a nonprofit organization, or a government entity operating in the state, you are required to complete and submit this form annually.
02
Employers with six or more employees in any month of the year: If your business has six or more employees in any month of the year, you are obligated to fill out and submit the Massachusetts HIRD form.
03
Employers offering health insurance: Even if your employees do not accept the health insurance coverage offered by your organization, you still need to complete the Massachusetts HIRD form. It is important to accurately report the number of employees opting for health insurance and those who waive it.
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What is massachusetts hird?
Massachusetts HIRD stands for Health Insurance Responsibility Disclosure form. It is a form required by the Massachusetts Department of Revenue to collect health insurance information from certain employers.
Who is required to file massachusetts hird?
Employers in Massachusetts with six or more employees are required to file the Massachusetts HIRD form.
How to fill out massachusetts hird?
The Massachusetts HIRD form can be filled out electronically through the MassTaxConnect website. Employers need to provide information about their health insurance offerings, including the types of plans offered and the number of employees enrolled in each plan.
What is the purpose of massachusetts hird?
The purpose of the Massachusetts HIRD form is to collect information about employer-sponsored health insurance offerings, including identifying employees who may be eligible for certain state health insurance subsidies.
What information must be reported on massachusetts hird?
The Massachusetts HIRD form requires employers to report information about health insurance plans offered, including the number of employees enrolled in each plan, the plan types, and the contribution amounts for each plan.
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