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Form Instructions 8379 for Contra Costa California: What You Should Know
Your employee will be responsible for completing and submitting a separate SS-4, SS-5, SS-6, SS-7, or SS-8 which must be completed by your employer. The SBC form must contain the following information: a description of the plan the employee's name, Social Security number and taxpayer identification number (as determined by the SSA). What the employee would be eligible to receive where the employee may make appointments to have care and treatments if the plan provides health insurance coverage, the type of coverage it covers which medical and/or surgical services, if any, will be covered the employee's name, job title and mailing address. The summary of benefit is available to California citizens and residents, to residents of other U.S. states, and to non-citizens whose lawful presence is in the United States. It must be made available to an individual within 30 days of receiving the SBC form completed according to the procedures outlined in California Business and Professions Code 8361.6 (for the business plan) and California Business and Professions Code 8363.3 (for the non-business plan). The summary of benefit can be used by your insurer, your administrator, or any other third party you direct to receive the summary of benefit. Information about the benefits under your non-business plan will be entered on Form 8369, which must be signed and dated by the participant or beneficiaries. The participant or beneficiary must have a valid, legal tax identification number to apply for this form. If the participant or beneficiary is younger than 18 years of age, the parent or legal guardian should complete and sign Form 8379. Contra Costa County, San Mateo County, and Santa Clara County Contribute to Your Employees Medical Care in California When your employer offers a company contribution to your employees' health care, which meets the requirements specified above in Contra Costa County, San Mateo County, and Santa Clara County, you should follow the following steps.
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