Get City Of Houston Standard Specification Form Pop-7 - Houstontx

Filling out the CITY OF HOUSTON STANDARD SPECIFICATION FORM POP-7 is essential for contractors and subcontractors participating in the Pay or Play Program. This guide provides step-by-step instructions to help users complete the form accurately and submit it online.

Follow the steps to fill out the form successfully.

1. Click ‘Get Form’ button to acquire the form and open it in your online editor.
2. Begin by indicating whether this is an initial report or a report for the quarter ending. Select 'Yes' or 'No' as appropriate.
3. Fill in the 'Prime Company Name' field with the name of the prime contractor. Then, provide the address and phone number of the company.
4. Enter the 'Project No.' corresponding to GFS, CIP, AIP, or File No. Additionally, enter the 'Project Name' to specify what the report pertains to.
5. State the health benefit provider/organization along with the group number or payer ID number and provide the provider's phone number.
6. For each covered employee, fill in the 'Insurance ID #' and 'Employee Name.' Indicate whether the employee is new by marking the appropriate box.
7. Provide the insurance premium amount for the month, detailing both the employer and employee contributions.
8. Indicate the benefit year coverage start and end dates to clarify the duration of health benefits provided.
9. The form requires a signature from the contractor, which should be done by the authorized representative. Include their printed name and the date the report is submitted.
10. Review all entries for accuracy before final submission. Once completed, you can save the changes, download, print, or share the form as needed.

Complete and submit your documents online today for a smooth compliance process!