DOH Form 116M Employers Health Insurance Information - Utah

DOH Form 116M Employers 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 DOH Form 116M?
A: DOH Form 116M is the Employers Health Insurance Information form used in Utah.

Q: What is the purpose of DOH Form 116M?
A: The purpose of DOH Form 116M is to provide information about the health insurance coverage offered by an employer in Utah.

Q: Who needs to complete DOH Form 116M?
A: Employers in Utah who offer health insurance coverage to their employees need to complete DOH Form 116M.

Q: Are there any deadlines for submitting DOH Form 116M?
A: Yes, employers in Utah are required to submit DOH Form 116M to the Utah Department of Health by a specific deadline each year.

Q: What information is required on DOH Form 116M?
A: DOH Form 116M requires information about the employer, the health insurance plan offered, and the number of employees enrolled.

Q: Is DOH Form 116M confidential?
A: Yes, the information provided on DOH Form 116M is considered confidential and protected by privacy laws.

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Form Details:

  • Released on January 1, 2020;
  • 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 Employers Health Insurance Information - Utah

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