Ma hird form pdf 2025

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The document is a Health Insurance Responsibility Disclosure (HIRD) Form for non-benefited employees at the University of Massachusetts. It collects information regarding the employee's health insurance status, including whether they were offered employer-subsidized health insurance and if they have other coverage. The form requires an employee affidavit affirming the truthfulness of the provided information and outlines potential penalties for not maintaining health insurance. It also includes instructions for returning the completed form to the HR department.

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What is the MA Hird form?

The Massachusetts Health Insurance Responsibility Disclosure (HIRD) form collects employer-level information about employer-sponsored insurance (ESI). This reporting is administered by MassHealth and the Department of Revenue (DOR) through the MassTaxConnect (MTC) web portal.

What does hird stand for?

Health Insurance Responsibility Disclosure (HIRD) FAQs.

What is the Massachusetts corporate dissolution form?

Corporations must complete a Form 966, Corporate Dissolution or Liquidation, and file it with the final corporate return. Partnerships must file the final Form 1065 and Schedule K-1s. Sole proprietors stop filing the Schedule C with the individual income tax return.

What is the MA PFML benefit?

Through PFML, if you work in Massachusetts youre likely eligible to take up to 26 weeks per year of paid, job-protected time off from work when you need it most, so that you can focus on your health and the health of your family.

What is Hird form for Massachusetts?

Massachusetts: 2024 Health Insurance Responsibility Disclosure (HIRD) Form Due 12/15/24. Background: The HIRD form is a state reporting requirement in Massachusetts launched in 2018. The HIRD form collects employer-level information about its employer-sponsored insurance (ESI) offerings.

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