2020 IB-54 Installment Payment Self-Insured Workers Compensation Group, Health Maintenance Organization, Hospital or Dental Service Corporation

IB-54_2020_0.pdf

PDF • 186.48 KB - January 28, 2020

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 2020

First Published
Last Updated