PDF
Word
Form 116M Employer Health Insurance Information - Utah
What Is Form 116M?
This is a legal form that was released by the Utah Department of Workforce Services - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 116M?A: Form 116M is a document used to provide information about employer-sponsored health insurance in Utah.
Q: Who needs to fill out Form 116M?A: Employers in Utah who provide health insurance coverage to their employees need to fill out Form 116M.
Q: What information is required on Form 116M?A: Form 116M requires information about the employer, the health insurance coverage provided, and the number of employees covered.
Q: When is Form 116M due?A: Form 116M is due on or before February 28th each year.
Q: What happens if I don't file Form 116M?A: Failure to file Form 116M or providing false information can result in penalties and fines.
Form Details:
- Released on May 1, 2014;
- The latest edition provided by the Utah Department of Workforce Services;
- 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 116M by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Utah Department of Workforce Services.
Download Form 116M Employer Health Insurance Information - Utah
1
2
