PDF
Word
Form DHHS116M Employer's Health Insurance Information - Utah
What Is Form DHHS116M?
This is a legal form that was released by the Utah Department of Workforce Services - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the DHHS116M form?
A: The DHHS116M form is the Employer's Health Insurance Information form for the state of Utah.
Q: Who needs to fill out the DHHS116M form?
A: Employers in Utah who offer health insurance coverage to their employees are required to fill out the DHHS116M form.
Q: What information is required on the DHHS116M form?
A: The DHHS116M form requires information about the employer, the health insurance coverage offered, and the employees enrolled in the coverage.
Q: When is the deadline for submitting the DHHS116M form?
A: The deadline for submitting the DHHS116M form varies each year, but it is typically in the first quarter of the year.
Q: What happens if an employer fails to submit the DHHS116M form?
A: Failure to submit the DHHS116M form may result in penalties or legal consequences for the employer.
Form Details:
- Released on December 1, 2022;
- The latest edition provided by the Utah Department of Workforce Services;
- 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 DHHS116M by clicking the link below or browse more documents and templates provided by the Utah Department of Workforce Services.
Download Form DHHS116M Employer's Health Insurance Information - Utah
1
2
