Sample Forms, Policies & Checklists

The Forms & Policies Section features over 500 sample HR forms, policies and checklists available for downloading, customizing and printing. The range of sample HR forms covers the most important and relevant aspects of managing human resources and the employer/employee relationship.

Entities administering any health program or activity that receives federal financial assistance (such as hospitals that accept Medicare or doctors who accept Medicaid) must provide beneficiar...

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ACA Section 1557 Nondiscrimination ...

Entities administering any health program or activity that receives federal financial assistance (such as hospitals that accept Medicare or doctors who accept Medicaid) must provide beneficiar...

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ACA Section 1557 Nondiscrimination ...

Self-insuring employers that are not ...

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Form 1094-B

Applicable large employers (generally those with 50 or more full-time employees, including fu...

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Form 1094-C

Self-insuring employers that are not applicable large employers (generally those with 50 or more full-time employees, including full-time equivalents), and other providers of minimum essential...

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Form 1095-B

Applicable large employers must:<...

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Form 1095-C

IRS instructions for completing Forms 1094-B and 1095-B.

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Forms 1094-B and 1095-B--Instructio...

IRS instructions for completing Forms 1094-C and 1095-C.

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Forms 1094-C and 1095-C--Instructio...

All employers covered by the federal Fair Labor Standards Act must provide employees with certain information about the existence of the Health Insurance Exchanges (also known as Marketplaces), includ...

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Health Insurance Exchange Notice (F...

All employers covered by the federal Fair Labor Standards Act must provide employees with certain information about the existence of the Health Insurance Exchanges (also known as Marketplaces), includ...

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Health Insurance Exchange Notice (F...

This notice must be provided at specified times during the enrollment process and upon a participant or beneficiary's request, generally as follows:
Prior to initial enrollment in ...

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Summary of Benefits and Coverage (S...

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Sample Forms, Policies & Checklists

Entities administering any health program or activity that receives federal financial assistance (such as hospitals that accept Medicare or doctors who accept Medicaid) must provide beneficiar...

Entities administering any health program or activity that receives federal financial assistance (such as hospitals that accept Medicare or doctors who accept Medicaid) must provide beneficiar...

Self-insuring employers that are not ...

Applicable large employers (generally those with 50 or more full-time employees, including fu...

Self-insuring employers that are not applicable large employers (generally those with 50 or more full-time employees, including full-time equivalents), and other providers of minimum essential...

Applicable large employers must:<...

IRS instructions for completing Forms 1094-B and 1095-B.

IRS instructions for completing Forms 1094-C and 1095-C.

All employers covered by the federal Fair Labor Standards Act must provide employees with certain information about the existence of the Health Insurance Exchanges (also known as Marketplaces), includ...

All employers covered by the federal Fair Labor Standards Act must provide employees with certain information about the existence of the Health Insurance Exchanges (also known as Marketplaces), includ...

This notice must be provided at specified times during the enrollment process and upon a participant or beneficiary's request, generally as follows: Prior to initial enrollment in ...

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This notice must be provided at specified times during the enrollment process and upon a participant or beneficiary's request, generally as follows:
Prior to initial enrollment in ...