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 Self-insured Medical Report?
A: The purpose of the Self-insured Medical Report is to provide financial information related to self-insured medical plans in Arizona.

Q: Who is required to submit the Self-insured Medical Report?
A: Employers who have self-insured medical plans in Arizona are required to submit the Self-insured Medical Report.

Q: When is the deadline for submitting the Self-insured Medical Report?
A: The deadline for submitting the Self-insured Medical Report is determined by the Arizona Department of Insurance and may vary each year.

Q: What information is included in the Self-insured Medical Report?
A: The Self-insured Medical Report includes information such as the number of employees covered, the types of benefits provided, and the financial details of the self-insured medical plan.

Q: Are there any penalties for not submitting the Self-insured Medical Report?
A: Yes, failure to submit the Self-insured Medical Report by the deadline may result in penalties imposed by the Arizona Department of Insurance.