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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.
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What is are you actively employed?
"Are you actively employed?" typically refers to whether an individual is currently working or engaged in a job.
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Individuals who are employed and need to report their employment status, often for tax or social security purposes.
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To fill out this section, simply indicate your current employment status, usually by marking a checkbox or answering yes or no.
What is the purpose of are you actively employed?
The purpose is to determine an individual's current employment status which may affect eligibility for various programs or tax assessments.
What information must be reported on are you actively employed?
Typically includes your job title, employer name, and whether you are currently employed.
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