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STATE OF MISSISSIPPI
STATE AND SCHOOL EMPLOYEES HEALTH INSURANCE PLAN
APPLICATION FOR COVERAGE
Employer Nameplate PRINT
Section A: Enrolled Information (all fields are required)
Social Security Numbered
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What is state and school employees?
State and school employees refer to individuals employed by state governments and educational institutions, including public schools, colleges, and universities.
Who is required to file state and school employees?
Employers that hire state and school employees must file state and school employee reports, which often includes schools, local governments, and other public entities.
How to fill out state and school employees?
To fill out state and school employee forms, employers typically need to provide basic information about the employees, their compensation, and the taxes withheld, following the guidelines provided by the state.
What is the purpose of state and school employees?
The purpose of state and school employees reporting is to ensure accurate tracking of employment, tax withholdings, benefits, and compliance with state labor laws.
What information must be reported on state and school employees?
Information that must be reported includes employee names, Social Security numbers, wages, hours worked, and any taxes withheld.
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