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HEALTH INSURANCE RESPONSIBILITY DISCLOSURE (HIRD)
If you are an employer with a Massachusetts location and employ 11 or more full time employees, you are required to file an Employer Health Insurance Responsibility Disclosure (Employer HIRD) form. The disclosure includes information about your compliance with the requirement to adopt and maintain a Section 125 Cafeteria Plan. You are also required to collect an Employee Health Insurance Responsibility Disclosure (Employee HIRD) form from all employees that decline your offer of employer-sponsored insurance and/or participation in your Section 125 Cafeteria Plan. Employers
must retain the signed Employee HIRD forms for a period of three years.
Baystate Onesource provides assistance when filing Employer HIRD information with the Division of Unemployment. In addition, Employee HIRD forms are provided to you for distribution at open enrollment meetings.
Form 5500 Summary Annual Report(SAR) Preparation
Health Insurance Responsibility Disclosure HIRD
Form 5500 Summary Annual Report(SAR) Preparation