
Get the free Cost of Coverage - NYS Civil Service - New York State
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2024 NYSHIP Open Enrollment/Change Form HRBEN060KEMPLOYEE BENEFITS DIVISIONNYSHIP Health Insurance Transaction Form f or NYS & PE EmployeesPS404 (1/2023)INSTRUCTIONS: READ AND COMPLETE BOTH PAGES.
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How to fill out cost of coverage

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What is cost of coverage?
Cost of coverage refers to the total amount spent on providing health insurance benefits to employees, including premiums, deductibles, and out-of-pocket expenses.
Who is required to file cost of coverage?
Employers that provide health insurance coverage to their employees are typically required to file the cost of coverage.
How to fill out cost of coverage?
To fill out the cost of coverage, employers need to accurately report the total health insurance costs for each covered employee on the designated forms, typically using IRS Form 1095-C.
What is the purpose of cost of coverage?
The purpose of cost of coverage is to provide transparency about the value of health insurance benefits offered to employees and to help the IRS verify compliance with Affordable Care Act (ACA) requirements.
What information must be reported on cost of coverage?
Information that must be reported includes the total annual cost of coverage, employee contributions, and details about the plan offered.
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