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.
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.
Form Details:
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.