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DataGatheringForm(SECTIONS105,125,129,132&COBRA) LegalNameofOrganization: (Enternameexactlyasitappearsontaxreturnsforcreationoflegaldocuments.) FederalEmployerTaxID#: Date Incorporated/Organized:
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datagaformringformsections105125129132ampcobra is a form used to report information about employer-sponsored health coverage provided to employees.
Employers with 50 or more full-time employees are required to file datagaformringformsections105125129132ampcobra.
datagaformringformsections105125129132ampcobra is typically filled out by the employer's HR department or a designated individual.
The purpose of datagaformringformsections105125129132ampcobra is to provide employees with information about their health coverage and to comply with the Affordable Care Act.
Information such as the employer's name, address, and EIN, as well as the names and SSNs of covered individuals, must be reported on datagaformringformsections105125129132ampcobra.
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