Get the free employment based health coverage offered by your employer
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New Health Insurance Marketplace Coverage
Options and Your Health CoverageForm Approved
OMB No. 12100149
(Expires 1312017)PART A: General Information
Beginning in 2014, there is a new way to buy health
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What is employment based health coverage?
Employment-based health coverage is health insurance provided by an employer to its employees.
Who is required to file employment based health coverage?
Employers are required to file employment-based health coverage for their employees.
How to fill out employment based health coverage?
Employers can fill out employment-based health coverage forms online or through paper forms provided by the IRS.
What is the purpose of employment-based health coverage?
The purpose of employment-based health coverage is to provide employees with access to affordable health insurance benefits.
What information must be reported on employment based health coverage?
Employers must report information such as employee names, Social Security numbers, and details about the health insurance plan.
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