Form POP-1 Pay or Play Acknowledgement Form - City of Houston, Texas

Form POP-1 Pay or Play Acknowledgement Form - City of Houston, Texas

What Is Form POP-1?

This is a legal form that was released by the Office of Business Opportunity - City of Houston, Texas - a government authority operating within Texas. The form may be used strictly within City of Houston. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the POP-1 Pay or Play Acknowledgement Form?
A: The POP-1 Pay or Play Acknowledgement Form is a form used by the City of Houston, Texas for employees to acknowledge their understanding of the employer's health insurance offering.

Q: Who is required to fill out the POP-1 Pay or Play Acknowledgement Form?
A: All employees of the City of Houston, Texas are required to fill out the POP-1 Pay or Play Acknowledgement Form.

Q: What is the purpose of the POP-1 Pay or Play Acknowledgement Form?
A: The purpose of the POP-1 Pay or Play Acknowledgement Form is to ensure that employees are aware of and understand the health insurance options offered by their employer.

Q: What happens if an employee does not submit the POP-1 Pay or Play Acknowledgement Form?
A: If an employee does not submit the POP-1 Pay or Play Acknowledgement Form, they may be automatically enrolled in the default health insurance option chosen by their employer.

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Form Details:

  • Released on January 23, 2020;
  • The latest edition provided by the Office of Business Opportunity - City of Houston, Texas;
  • 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 printable version of Form POP-1 by clicking the link below or browse more documents and templates provided by the Office of Business Opportunity - City of Houston, Texas.

Download Form POP-1 Pay or Play Acknowledgement Form - City of Houston, Texas

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