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Anthem Blue Cross and Blue Shield Healthineers, Inc. Group Size: 5199 midsizeAcct. Code: Group Number(s): Year Company Name (the Applicant):Operational: Street Address: City:For Internal Use Only:City/County:Billing
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Start by gathering all the necessary information and documents needed to fill out the 51-99 mid-size form.
02
Begin by entering the name and contact information of the individual or organization responsible for the form.
03
Proceed to fill out the required information regarding the mid-size organization, such as its name, address, and primary contact details.
04
Include any additional information relevant to the organization, such as its legal structure or business activities.
05
Provide details on the number of employees and their respective hours worked per week.
06
Specify the mid-size organization's average number of full-time employees during the applicable measurement period.
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Complete the section on minimum essential coverage offered by the organization to its employees.
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If applicable, provide details on any safe harbor or other relief that may apply to the organization.
09
Review the completed form for accuracy and make any necessary corrections.
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Finally, sign and date the form before submitting it to the appropriate entity.
Who needs 51-99 mid-size?
01
The 51-99 mid-size form is typically required by mid-sized organizations that have between 51 and 99 full-time equivalent employees.
02
These organizations need to fill out this form in order to comply with certain reporting requirements under the Affordable Care Act (ACA).
03
Additionally, they may need to provide this information to insurance companies or other relevant parties.
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What is 51-99 mid-size?
51-99 mid-size refers to companies that have between 51 and 99 employees.
Who is required to file 51-99 mid-size?
Companies with 51-99 employees are required to file 51-99 mid-size.
How to fill out 51-99 mid-size?
51-99 mid-size forms can be filled out online or submitted through mail.
What is the purpose of 51-99 mid-size?
The purpose of 51-99 mid-size is to report information about the company's workforce.
What information must be reported on 51-99 mid-size?
Information such as employee demographics, salaries, benefits, and diversity statistics must be reported on 51-99 mid-size.
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