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Form 5500 - Schedule I for Maryland: What You Should Know

New Forms 5500 Supplement with Information on Other Benefits and Exchanges (For 2023 Annual Returns Only) Dec 30, 2023 — The 2023 Forms 5500 Supplement adds information to 2023 forms 5500 Supplements on health & dental coverage. The 2023 Forms 5500 Supplement also contains information on other types of health care coverage (e.g., life insurance). Annual Return of Form 5500 Supplement and Schedules 2017 Form 5500 Supplement 2016 Form 5500 Supplement 2015 Form 5500 Supplement 2015 Form 5500 Supplement | PDF | Word | Excel (2016 or later) 2015 Form 5500 Supplement 2014 Form 5500 Supplement 2013 Form 5500 Supplement Form 5500 Supplement Filing Procedures (A) U. S. Department of Labor Forms 5500 for Employer-Sponsored Health Plans (Forms 5500-ES or 5500-SES)  (1) General information to include in the Form 5500 Supplement . The information in the Form 5500 Supplement should be included as a part of the Form 5500 Annual Return/Report of Employee Benefit Plan (Form 5500). See the 2023 Form 5500 Supplement for more information. (a)  (i) Amount of Coverage; The form reports the actual paid benefit per employee per month, not the maximum cost of coverage for that plan at the end of the month. (ii) Eligibility for Coverage; The Form 5500 Supplement report for each individual employee must include information regarding his/her  (A) Employer's name; -Employer's address; -Employer's taxpayer identification number; (B) Eligibility for Coverage; -Benefits; (C) Eligibility for Exchanges; -Exchange or Exchanges in Which Coverage is Eligible; (E) Amount of Excess Premiums Paid for Health Care; -Exemption from Income Tax; and (F) Excess Premiums that are Not Paid for Health Care. (2) Eligibility of Employee Plan: This report must include the name and address of the employer who must pay for the employees' health benefit through a plan or contract, or through a combination of a plan and a contract. For plans which are self-insured, the employer must pay the premium to the state health benefits fund.

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