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Form WC-TPA-CBP Notice of Contract Between Third Party Administrator and Self-insurer - New Hampshire
What Is Form WC-TPA-CBP?
This is a legal form that was released by the New Hampshire Department of Labor - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form WC-TPA-CBP?
A: It is the Notice of Contract between a Third Party Administrator (TPA) and a Self-insurer in New Hampshire.
Q: Who needs to file Form WC-TPA-CBP?
A: TPAs and self-insurers in New Hampshire need to file the form.
Q: What is the purpose of Form WC-TPA-CBP?
A: The form is used to notify the New Hampshire Department of Labor about the contract between a TPA and a self-insurer.
Q: When should Form WC-TPA-CBP be filed?
A: The form should be filed within 30 days of the contract's effective date or any subsequent changes.
Form Details:
- Released on March 1, 2019;
- The latest edition provided by the New Hampshire Department of Labor;
- 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 WC-TPA-CBP by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Labor.
Download Form WC-TPA-CBP Notice of Contract Between Third Party Administrator and Self-insurer - New Hampshire
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