PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
DOH Form 116M
for the current year.
DOH Form 116M Employer's Health Insurance Information - Utah
What Is DOH Form 116M?
This is a legal form that was released by the Utah Department of Health and Human Services - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DOH Form 116M?
A: The DOH Form 116M is the Employer's Health Insurance Information form in Utah.
Q: What is the purpose of the DOH Form 116M?
A: The purpose of the DOH Form 116M is for employers to provide information about the health insurance coverage they offer to their employees.
Q: Who needs to fill out the DOH Form 116M?
A: Employers in Utah who offer health insurance coverage to their employees need to fill out the DOH Form 116M.
Q: Is the DOH Form 116M mandatory?
A: Yes, the DOH Form 116M is mandatory for employers in Utah who offer health insurance coverage to their employees.
Q: When is the deadline for submitting the DOH Form 116M?
A: The deadline for submitting the DOH Form 116M is usually January 15th of each year.
Form Details:
- Released on April 1, 2019;
- The latest edition provided by the Utah Department of Health and Human Services;
- Easy to use and ready to print;
- Available in Spanish;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of DOH Form 116M by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.
Download DOH Form 116M Employer's Health Insurance Information - Utah
1
2
