Texas Form Number 1212 CERT DATA Annual Small Employer Health Benefit Plan Report is a form used by small businesses in Texas to submit information to the Texas Department of Insurance about their health benefit plans. This form is used to report information such as the number of employees enrolled in the plan, the type of plan, and the premiums paid. This form is submitted annually and is used to ensure compliance with state regulations. There are two types of Texas Form Number 1212 CERT DATA Annual Small Employer Health Benefit Plan Report: the Standard Form and the Simplified Form. The Standard Form requires more detailed information and is typically used by employers with more than 50 employees. The Simplified Form is intended for employers with fewer than 50 employees and requires less detailed information.