Form 116M Employer Health Insurance Information - Utah

Form 116M Employer Health Insurance Information - Utah

What Is Form 116M?

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 Form 116M?
A: Form 116M is a document used to provide information about employer-sponsored health insurance in Utah.

Q: Who needs to fill out Form 116M?
A: Employers in Utah who provide health insurance coverage to their employees need to fill out Form 116M.

Q: What information is required on Form 116M?
A: Form 116M requires information about the employer, the health insurance coverage provided, and the number of employees covered.

Q: When is Form 116M due?
A: Form 116M is due on or before February 28th each year.

Q: What happens if I don't file Form 116M?
A: Failure to file Form 116M or providing false information can result in penalties and fines.

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Form Details:

  • Released on May 1, 2014;
  • 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 116M by clicking the link below or browse more documents and templates provided by the Utah Department of Workforce Services.

Download Form 116M Employer Health Insurance Information - Utah

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