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981 Wooster Road Millersburg, OH 44654 (330) 6741015, extension 11632023 SOMEONE HOSPITAL CARE ASSURANCE & CHARITY CARE PROGRAM REQUIREMENT LIST Dear Applicant, Enclosed is the application for the
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What is form premier health care?
Form premier health care is a form used to report health care coverage information to the IRS.
Who is required to file form premier health care?
Employers sponsoring self-insured health plans are required to file form premier health care.
How to fill out form premier health care?
Form premier health care can be filled out electronically or by paper following the instructions provided by the IRS.
What is the purpose of form premier health care?
The purpose of form premier health care is to report information about health care coverage provided to individuals.
What information must be reported on form premier health care?
Information such as the name, SSN, and coverage period of individuals covered under the health care plan must be reported on form premier health care.
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