Form CFN005-04 Health and Dental Insurance Trustee Report Adjustments - Iowa

Form CFN005-04 Health and Dental Insurance Trustee Report Adjustments - Iowa

What Is Form CFN005-04?

This is a legal form that was released by the Iowa Department of Administrative Services - a government authority operating within Iowa. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CFN005-04?
A: Form CFN005-04 is the Health and Dental Insurance Trustee Report Adjustments form specific to Iowa.

Q: What is the purpose of Form CFN005-04?
A: The purpose of Form CFN005-04 is to report adjustments made to the Health and Dental Insurance Trustee Report.

Q: Who is required to file Form CFN005-04?
A: Health and Dental Insurance Trustees in Iowa are required to file Form CFN005-04.

Q: What information is included in Form CFN005-04?
A: Form CFN005-04 includes details of the adjustments made to the Health and Dental Insurance Trustee Report.

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Form Details:

  • Released on October 1, 2018;
  • The latest edition provided by the Iowa Department of Administrative Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CFN005-04 by clicking the link below or browse more documents and templates provided by the Iowa Department of Administrative Services.

Download Form CFN005-04 Health and Dental Insurance Trustee Report Adjustments - Iowa

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