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Form 5689 Self-insurance Affidavit for Religious Groups - Missouri
What Is Form 5689?
This is a legal form that was released by the Missouri Department of Revenue - a government authority operating within Missouri. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 5689?
A: Form 5689 is the Self-insurance Affidavit for Religious Groups in Missouri.
Q: Who should file Form 5689?
A: Religious groups in Missouri who wish to self-insure should file Form 5689.
Q: What is self-insurance?
A: Self-insurance is when an organization assumes the financial risk of providing insurance coverage to its members instead of purchasing insurance from an insurance company.
Q: Why do religious groups need to file Form 5689?
A: Religious groups in Missouri need to file Form 5689 to declare their intention to self-insure and provide certain information about their coverage.
Q: Are there any deadlines for filing Form 5689?
A: Yes, religious groups must file Form 5689 within 90 days prior to the proposed effective date of their self-insurance coverage.
Form Details:
- Released on August 1, 2021;
- The latest edition provided by the Missouri Department of Revenue;
- 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 5689 by clicking the link below or browse more documents and templates provided by the Missouri Department of Revenue.
