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Health Reimbursement Arrangement (HRA) Recurring Claim Form. O. Box 24927 Lakeland, FL 33802 855.329.0095 Fax 863.577.4460 www.midamerica.bizPlease attach your documentation to this page. Section
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Start by gathering all the necessary information such as your current employment status, job title, employer details, and average working hours per week.
02
Begin filling out the form by providing your personal information like your name, address, contact details, and social security number.
03
Locate the section asking about your employment status and indicate whether you are actively employed or not.
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If you are actively employed, provide additional details such as your job title, employer name, and their contact information.
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Specify the average number of hours you work per week and any other relevant information requested in the form.
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The question 'Are you actively employed?' is commonly found in various official forms, applications, and surveys.
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It is usually required by government agencies, financial institutions, employers, or any organization that needs to gather information about the employment status of individuals.
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This question helps in determining eligibility for certain benefits, programs, or services that may depend on employment status.
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Additionally, it provides valuable data for statistical purposes and helps organizations make informed decisions based on the employment trends.
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"Are you actively employed?" typically refers to whether an individual is currently working or engaged in a job.
Individuals who are employed and need to report their employment status, often for tax or social security purposes.
To fill out this section, simply indicate your current employment status, usually by marking a checkbox or answering yes or no.
The purpose is to determine an individual's current employment status which may affect eligibility for various programs or tax assessments.
Typically includes your job title, employer name, and whether you are currently employed.
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