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Iowa Insurance Division Two Run Center 601 Locust Street 4th Floor Des Moines IA 50309 AFFIDAVITState of) County of) Being first duly sworn, affine deposes and says: that the affine is an administrator
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Individuals or organizations involved in an ERISA (Employee Retirement Income Security Act) case may need to fill out the ERISA affidavitdocx.
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This can include employees or former employees who are seeking benefits under an employee benefit plan governed by ERISA.
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Employers, plan administrators, or other parties involved in administering or managing an employee benefit plan may also need to fill out this affidavit.
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ERISA affidavitdocx is a document that certifies compliance with the Employee Retirement Income Security Act (ERISA) regulations.
Employers who sponsor retirement or health benefit plans subject to ERISA regulations are required to file the ERISA affidavitdocx.
The ERISA affidavitdocx should be completed with accurate information regarding the employer's retirement or health benefit plans, as well as their compliance with ERISA regulations.
The purpose of the ERISA affidavitdocx is to certify that the employer is in compliance with ERISA regulations and is providing adequate retirement or health benefit plans to employees.
The information reported on the ERISA affidavitdocx includes details about the employer's retirement or health benefit plans, compliance with ERISA regulations, and any relevant disclosures.
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1993 iowa 4th moines ruan erisa iid fein deposes 507b hartley affiant administers facsimile acknowledges subscribed gov ia sanctions notary locust compliance expires duly administrator defined solely typed affidavit

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