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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 FA-0980
for the current year.
Form FA-0980 Employee Insurance Checklist - State Plan - Tennessee
What Is Form FA-0980?
This is a legal form that was released by the Tennessee Department of Finance & Administration - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-0980?
A: Form FA-0980 is an Employee Insurance Checklist.
Q: What does Form FA-0980 cover?
A: Form FA-0980 covers the State Plan in Tennessee.
Q: Who is required to fill out Form FA-0980?
A: Employees who are enrolled in the State Plan in Tennessee are required to fill out Form FA-0980.
Q: What is the purpose of Form FA-0980?
A: The purpose of Form FA-0980 is to provide information about employee insurance coverage under the State Plan in Tennessee.
Q: What information is required on Form FA-0980?
A: Form FA-0980 requires information such as employee details, insurance coverage information, and beneficiary information.
Q: When should Form FA-0980 be filled out?
A: Form FA-0980 should be filled out when enrolling in the State Plan or making changes to insurance coverage.
Q: Do I need to keep a copy of Form FA-0980?
A: Yes, it is recommended to keep a copy of Form FA-0980 for your records.
Form Details:
- Released on June 1, 2022;
- The latest edition provided by the Tennessee Department of Finance & Administration;
- 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 FA-0980 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Finance & Administration.
