Toll Free Number Toll-Free 1-800-745-9970 | Chat Live Chat
Search:  
Massachusetts Health Insurance Responsibility Disclosure Form (HIRD) PDF Download


Massachusetts Health Insurance Responsibility Disclosure Form (HIRD) PDF Download

 
Massachusetts Health Insurance Responsibility Disclosure Form (HIRD) PDF Download
SKU: FED2175PDF |   E-mail this product to a friend
Share: 
Our Price:   $9.95
Options:
 
Quantity: 
Get the Poster Plus the Updates – Free Unlimited Shipping Details
Chat Button
 
 
According to the Massachusetts Health Care Reform law, employers in Massachusetts should provide their employees with affordable health care plan options, whether those options are through private insurance plans or Section 125 cafeteria plans. The intention of the law is to reduce the number of uninsured Massachusetts residents by ensuring that they have information about and access to affordable health insurance plans.  

As of July 1, 2007, employers in the state are required to provide their employees with information about those affordable health insurance plans in which they may choose to enroll. The Massachusetts Health Care Reform law enacts Section 125 and the Health Insurance Responsibility Disclosure.

Health Insurance Responsibility Disclosure Forms

This pack of 25 Health Insurance Responsibility Disclosure forms adheres to all Massachusetts reporting regulations and is compliant with all applicable laws. Employers should make these forms available to their employees in the event that the employee declines employer-sponsored health care plans or Section 125 plans. Employers should ensure that employees complete these forms in a timely manner after declining coverage. Employers are also required to keep these completed forms for three years.

Product Specifications:

  • This form is 8.5" x 11"
  • Downloadable PDF

 
Customer Testimonials

"Nice product at an even nicer price. Delivery time was very good."

—James, Morristown, NJ
Tax Preparation
 
 
Recently Viewed Products


HIPAA Authorization Form PDF Download
HIPAA Authorization Form PDF Download
Health Care Provider Certification for FMLA Leave PDF Download
Health Care Provider Certification for FMLA Leave PDF Download
FMLA Serious Military Injury Form PDF Download
FMLA Serious Military Injury Form PDF Download
FMLA Leave Management List PDF Download
FMLA Leave Management List PDF Download
 
SATISFACTION GUARANTEE
LaborLawCenter™ stands behind
our products through our 180-Day
Satisfaction Guarantee. For
assistance, contact us
at 1-800-745-9970.




Connect with LaborLawCenter™ on
Facebook, Twitter, LinkedIn & Google+
 
McAfee Secure sites help keep you safe from identity theft, credit card fraud, spyware, spam, viruses and online scams 90 Days Shipping Work Green

CALL US TOLL FREE

800-745-9970

s
s