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Form 1094-C Illinois Cook: What You Should Know
Form 1095C Date of Publication: December 8, 2014, Vol. 18, No. 12 The County of Cook is a County of the State of Illinois and the District of Columbia. The County of Cook is the only Cook County Government office located in Chicago. The County of Cook is not located within a City or Town (State and Federal government locations are located in those places). The County of Cook is a separate body politic and separate jurisdiction or district, and may not be exercised by the United States as a unit. See Illinois v. City and County of Chicago, 134 Ill. App. 363, 393 N.E.2d 1321 (1972). The County of Cook is an incorporated political subdivision in the State of Illinois, the city and county of Chicago, the Illinois Municipal Retirement Fund, the Illinois Municipal Employees' Retirement System, the United States and its political subdivisions or departments, the Federal employees' retirement system, the Illinois public service system and the Federal employees' health insurance program, and their respective successors; but the city and county, the city and county of Chicago and the Illinois Municipal Retirement Fund and its predecessor entities and successors may exercise any functions they lawfully exercise on behalf of the State through such instrumentality, or otherwise as necessary to carry out the functions authorized under this chapter. (Source: P.A. 96-1278, eff. 7-22-10.) Form 1094-C (a) GENERAL INFORMATION The form describes the types of coverage provided by the plan and the amount and type of each plan payment to be made under this section. The form also explains those provisions of this chapter that do not apply to this form. (b) PLAN INFORMATION The form describes the coverage that a health plan will provide to employees, including each plan payment. (c) INSURANCE COSTS The form shows the cost and types of premiums for the coverage provided by the plan, including the amount of the premium. (d) PAYMENTS UNDER THIS SECTION The form shows how the employer and employee will make the required payments when a health plans under this section is offered or coverage is offered on file. Each employer pays the amount of the premium for workers in all covered jobs and all covered workers pay for the coverage by contributing their annual premiums and employer contributions to the health insurance pool. Coverage under this section is required only for employees who are eligible workers.
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