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Form DOH-4411 Tpa / Aso Client List Addendum - Deletions - New York
What Is Form DOH-4411?
This is a legal form that was released by the New York State Department of Health - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOH-4411?A: Form DOH-4411 is a document used in New York regarding TPA/ASO client list addendum.
Q: What is TPA?A: TPA stands for Third Party Administrator, which is a company that manages employee benefits on behalf of employers.
Q: What is ASO?A: ASO stands for Administrative Services Only, which is an arrangement where an employer self-funds their employee benefits and hires an external company to administer the benefits.
Q: What is the purpose of the TPA/ASO client list addendum?A: The TPA/ASO client list addendum is used to update the client list of a TPA or ASO in relation to Form DOH-4411.
Q: What does 'addendum - deletions' mean?A: 'Addendum - deletions' refers to the section of the form where any clients that are being removed from the TPA or ASO client list are listed.
Q: Who uses Form DOH-4411?A: Form DOH-4411 is used by TPAs and ASOs in New York to update their client lists with the Department of Health.
Q: Is Form DOH-4411 specific to New York?A: Yes, Form DOH-4411 is specific to the state of New York.
Form Details:
- Released on May 1, 2012;
- The latest edition provided by the New York State Department of Health;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form DOH-4411 by clicking the link below or browse more documents and templates provided by the New York State Department of Health.
Download Form DOH-4411 Tpa / Aso Client List Addendum - Deletions - New York
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