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FOR BHF USELL1
2012
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2012)I.DPH License ID Number:
Facility
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How to fill out lexington hcc-lombard
How to fill out lexington hcc-lombard
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What is lexington hcc-lombard?
Lexington HCC-Lombard is a health coverage form that certain employers must file with the IRS.
Who is required to file lexington hcc-lombard?
Applicable large employers (ALEs) are required to file Lexington HCC-Lombard.
How to fill out lexington hcc-lombard?
You can fill out Lexington HCC-Lombard online using the IRS Reporting Portal or through a third-party vendor.
What is the purpose of lexington hcc-lombard?
The purpose of Lexington HCC-Lombard is to report information about the health coverage offered to employees.
What information must be reported on lexington hcc-lombard?
Information such as employee names, social security numbers, the months they were offered coverage, and the cost of the coverage must be reported on Lexington HCC-Lombard.
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