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This version of the form is not currently in use and is provided for reference only. Download this version of
Form 5500 Schedule A
for the current year.
Form 5500 Schedule A Insurance Information - Sample
What Is Form 5500 Schedule A?
This is a legal form that was released by the U.S. Department of Labor - Employee Benefits Security Administration and used country-wide. The document is a supplement to Form 5500, Annual Return/Report of Employee Benefit Plan - Sample. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 5500 Schedule A?
A: Form 5500 Schedule A is a required attachment to Form 5500 that provides information about insurance coverage.
Q: Who needs to file Form 5500 Schedule A?
A: Employers who offer employee benefit plans with insurance coverage need to file Form 5500 Schedule A.
Q: What information is included in Form 5500 Schedule A?
A: Form 5500 Schedule A includes details about the insurance carrier, policy number, and coverage provided.
Q: Is Form 5500 Schedule A public information?
A: Yes, Form 5500 Schedule A is a public document that can be accessed by anyone who requests it.
Form Details:
- The latest available edition released by the U.S. Department of Labor - Employee Benefits Security Administration;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form 5500 Schedule A by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Employee Benefits Security Administration.
Download Form 5500 Schedule A Insurance Information - Sample
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