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LB 1095LB 1095LEGISLATURE OF NEBRASKA
NINETIETH LEGISLATURE
SECOND SESSIONLEGISLATIVE BILL 1095
Introduced by Jensen, 20; Bars, 30; Dickey, 18
Read first time January 7, 2000,
Committee: Health and
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How to fill out lb 1095
How to fill out lb 1095
01
Begin by gathering all the necessary information such as employee names, social security numbers, and addresses.
02
Make sure you have the correct form, LB 1095, which is used for reporting information about offers of health coverage and enrollment in health coverage for employees.
03
Fill out the form with accurate and complete information for each employee. This includes reporting whether an offer of coverage was made, the type of coverage offered, and the months for which coverage was available.
04
Double-check all the information before submitting the form to ensure its accuracy.
05
Submit the completed LB 1095 form to the appropriate government agency by the specified deadline.
06
Keep a copy of the form for your records in case of future reference or audits.
Who needs lb 1095?
01
Employers who are required to offer health coverage to their employees under the Affordable Care Act (ACA) are the ones who need LB 1095.
02
Additionally, any employer who provides self-insured health coverage to their employees must also fill out LB 1095 to report information about the coverage offered.
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