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This version of the form is not currently in use and is provided for reference only. Download this version of
Form Accounting ICA6609
for the current year.
Form Accounting ICA6609 Self-insured Medical Report - Arizona
What Is Form Accounting ICA6609?
This is a legal form that was released by the Industrial Commission of Arizona - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of the Accounting ICA6609 Self-insured Medical Report?
A: The purpose of the report is to provide information about self-insured medical coverage in Arizona.
Q: Who is required to submit the Accounting ICA6609 Self-insured Medical Report?
A: Employers who are self-insured for medical coverage in Arizona are required to submit this report.
Q: What information is included in the Accounting ICA6609 Self-insured Medical Report?
A: The report includes details such as the employer's name, contact information, number of employee participants, total incurred medical expenses, and more.
Q: When is the deadline to submit the Accounting ICA6609 Self-insured Medical Report?
A: The report must be submitted on or before March 1st of each year.
Form Details:
- Released on December 5, 2020;
- The latest edition provided by the Industrial Commission of Arizona;
- 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 fillable version of Form Accounting ICA6609 by clicking the link below or browse more documents and templates provided by the Industrial Commission of Arizona.
