Small Employer Heath Insurance Credit
To qualify you must have under 26 qualifying employees (not including yourself and/or related parties)
Email address *
Business Name *
Your answer
Total number of employees
Owners, shareholders, related parties are not included
Your answer
Total hours worked
Except exempt owners, shareholders, & related parties
Your answer
Total wages paid
Except exempt owners, shareholders, & related parties
Your answer
Total insurance premiums paid
Except exempt owners, shareholders, & related parties
Your answer
Notes
Your answer
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