2019 IB-54 Installment Payment Self-Insured Workers Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation

IB-54_2019.pdf

PDF • 186.48 KB - February 19, 2019

To be used by self-insured workers' compensation groups, health maintenance organizations, or hospital or dental service corporations in making installment payments of gross premiums tax for 2019

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