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This form may be completed online, printed and mailed to the address listed below. Check one: Fees: 1-10 beds $950 11-20 beds $1,450 21-50 beds $1,650 51 or more $1,950 Make fee payable to HHS STATE
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What is applicable - nebraska health?
Applicable - Nebraska Health refers to the health coverage information that must be reported to the state of Nebraska.
Who is required to file applicable - nebraska health?
Employers or insurers who provide health coverage in Nebraska are required to file Applicable - Nebraska Health forms.
How to fill out applicable - nebraska health?
Applicable - Nebraska Health forms can be filled out electronically through the Nebraska Department of Revenue website or through approved software providers.
What is the purpose of applicable - nebraska health?
The purpose of Applicable - Nebraska Health is to provide the state with information on health coverage provided to residents for tax and regulatory purposes.
What information must be reported on applicable - nebraska health?
Information such as the name and social security number of covered individuals, the months of coverage, and the type of coverage must be reported on Applicable - Nebraska Health forms.
When is the deadline to file applicable - nebraska health in 2023?
The deadline to file Applicable - Nebraska Health forms in 2023 is typically January 31st.
What is the penalty for the late filing of applicable - nebraska health?
The penalty for late filing of Applicable - Nebraska Health forms can vary, but can be up to $280 per form if not filed by the deadline.
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