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Get UT DOH 116M 2014

Month o quarterly o yearly oYes oNo 9. Do you know what change the employer will make for the new plan year? If yes, complete the following: o Employer won’t offer health insurance o Employer will start offering health coverage to employees or change the premium for the lowest-cost plan available only to the employee that meets the *minimum value standard. (Premium should not reflect the discount for wellness programs. See question 8. a. How much will the employee have to pay in premiums for .

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