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Semi Annual Premium Tax Computation Form For Idaho Self Insured Employer

State:
Idaho
Control #:
ID-SKU-874
Format:
PDF
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Description

Semi Annual Premium Tax Computation Form For Idaho Self Insured Employer

The Semi Annual Premium Tax Computation Form For Idaho Self Insured Employer is a form used by Idaho employers to calculate their premium tax liability for each tax period. The form is used to calculate the employer’s contribution to the Idaho Health Service Fund, which helps support health and medical care for the state’s residents. The form can be used for both annual and semi-annual tax periods. The form requires employers to enter the total amount of premiums paid, including any applicable credits, during the tax period. Employers must also enter the total amount of premiums due for the period, as well as any applicable taxes. The form also requires employers to provide information about the type of insurance coverage, the number of employees covered, and the total amount of premiums paid for each employee. The form is available in two different versions: the Self-Insured Employer (SHE) version and the Non-Self-Insured Employer (USE) version. The version is used by employers who are self-insured, while the USE version is used by employers who are not self-insured. Once the form is completed, employers must submit it to the Idaho Department of Insurance, along with a check to cover the premium tax due. The form must be submitted twice a year, once for the January – June tax period and once for the July – December tax period.

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FAQ

The Industrial Commission is the state agency responsible for: Regulating workers' compensation activities in Idaho, including companies licensed to issue workers' compensation policies.

The basic benefit is sixty-seven percent (67%) of your average weekly wage, subject to the minimums and maximum of 90% of the average state wage provided in Idaho Code (I.C.) 72-408 and 72-409. After 52 weeks, the basic benefit is 67% of the average state wage subject to maximums and minimums in I.C. 72-409.

Idaho law states that workers receiving income benefits being paid and discontinued longer than four years after the date of your accident allow one additional year after the final payment of benefits to request a hearing for additional benefits.

Ask your employer or the Idaho Industrial Commission for a First Report of Injury or Illness form. Fill out the form to the best of your ability. Return your completed form to the Idaho Industrial Commission's main office in Boise.

Exemptions from workers' compensation requirements in Idaho include: Sole proprietors and independent contractors. Family members employed by a sole proprietor and living in the same household. Some family members of sole proprietors who don't live in the same household may file for an exemption.

More info

BOISE, ID 83720-0041. Self Insured Employer Semi Annual Premium Tax Computation Form.This is a Idaho form and can be use in Surety Workers Compensation. Semi Annual Premium Tax Computation Form For Idaho Self Insured Employer {IC-4010A}. Idaho Forms ; IC-211, SELF- INSURED EMPLOYER REPORT OF TOTAL UNPAID LIABILITY. See the forms, schedules, instructions, and publications for the year of the tax return you are amending for guidance on specific topics. IdahoInformation Statement for SelfFunded Employee Health Care Plan . Follow the instructions, complete your NJ tax return, and file it online. Use the income and other information on the tax return in conjunction with Attachment 4-C to calculate the self-employment income. 32 and accounted for 69.

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Semi Annual Premium Tax Computation Form For Idaho Self Insured Employer