Get Part B: Information About Health Coverage Offered By Your ... - Ksre Ksu

Filling out the PART B: Information About Health Coverage Offered By Your Employer form is essential for individuals seeking to understand their health coverage options provided by their employer. This guide will provide clear, step-by-step instructions to help you complete the form accurately and easily.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the employer name in the designated field. Make sure the name is spelled correctly to avoid any issues with identification.
3. Fill in the Employer Identification Number (EIN), which is a unique number assigned to your employer for tax purposes. This is important for ensuring your information is accurately reported.
4. Provide the employer address, including the street, city, state, and ZIP code. Double-check this information for accuracy.
5. Indicate who can be contacted about employee health coverage at this job, including their full name, phone number, and email address if it is different from the provided employer phone number.
6. Specify whether the health coverage is offered to all employees or only to some. If it's only some, clarify who is eligible based on your employer's policies.
7. Indicate if coverage is offered to dependents as well. Choose the appropriate option: either coverage is provided, or it is not offered.
8. Review the section regarding affordability. For this, you will need to assess the lowest paid employee's income and calculate if the coverage meets the minimum value standard.
9. Complete any additional optional questions regarding employee eligibility and minimum value standard plans. If unsure about these answers, it is recommended to skip this section.
10. After all required fields are filled, review your responses for accuracy and completeness before saving your changes. You can then download, print, or share the completed form as needed.

Start filling out the form online today to ensure your health coverage information is up to date!