Health Insurance Form Templates
Documents:
681
This Form is used for designating an authorized representative to handle managed care appeals in Iowa.
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This form is used for requesting special authorization for Crohn's Disease treatment in Prince Edward Island, Canada.
This Form is used for enrolling in health benefits in West Virginia.
This form is for gathering information needed for individuals to enroll or disenroll in the Uniformed Services Family Health Plan, TRICARE Prime or TRICARE Prime Remote specifically within the Overseas Region.
This form is used for minor child support in the state of Ohio.
This form is also known as the healthcare marketplace tax form. It is used to inform the IRS about individuals and families enrolled in a health plan via the Health Insurance Marketplace.
This form is filed by employers with 50 or more full-time employees in order to provide information about their enrollment in health coverage required under sections 6055 and 6056 of the Internal Revenue Code.
Download these cover sheets in order to report a summary about the Applicable Large Employer (ALE) and to transmit Form 1095-C, Employer-Provided Health Insurance Offer and Coverage to the Internal Revenue Service (IRS).
