Quick Reference Guide

Required Tax Documentation

The most recent Quarterly Wage and Tax Statement (UITR) must be provided by all businesses of 2 or more eligible employees desiring to apply for health coverage. Business Groups of One must also submit the following documentation.

Sole Proprietorship

Form 1040 Schedule C Schedule SE (if required to file) Payroll Ledger* if tax documents are not available Business License Please include a photocopy of your driver's license Medical Insurance Disclosure Form