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Dependent Care Reimbursement Claim Form EMPLOYEE INFORMATION (Please Print):Name: SSN: Address: Day Phone: City, State, Zip: Email Address: Employer: CUMBERLAND HEIGHTS FOUNDATIONGroup Number: HRA954Check
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The Cumberland Heights Foundation is a non-profit organization that focuses on providing treatment for those struggling with alcohol and drug addiction, promoting recovery and helping individuals rebuild their lives.
Typically, employers who provide health benefits and are subject to reporting requirements under the Affordable Care Act (ACA) may be required to file forms related to the Cumberland Heights Foundation.
To fill out employer forms for the Cumberland Heights Foundation, gather necessary employee information, complete required sections about health coverage offered, and ensure compliance with ACA guidelines before submitting.
The purpose of the Cumberland Heights Foundation is to support individuals in recovery from substance abuse by providing treatment programs, education, and advocacy for healthier lifestyles.
Employers must report details about the health coverage they provide, including employee demographics, coverage offered, and any applicable health benefits related to the Cumberland Heights Foundation.
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