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Get UHC Employer Information Form 2014

: Email Address: Physical Address: Billing Address (if different): SECTION B Type of Business Organization for Sole Proprietor C-Corporation S-Corporation Federal Tax Purposes (check one): Partnership/LLP Non-Profit Farm LLC SECTION C 1. Is the group maintaining the minimum contribution requirement defined in your Group Policy? 2. Do you have contracted 1099 workers for which you provide 1099-MISC tax forms? 3. Do you file a consolidated tax return as an affiliated group? If you own.

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