№ lp_1_2_64510
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Character count: 4457
File size: 32 KB
This is a formal employee certification record defining eligibility conditions for employer contributions to a Health Savings Account under U.S. federal tax law and qualified high-deductible health plans.
Year:
2020
Document type:
Employee certification form
Subject:
Health Savings Account eligibility
Health plan type:
HSA-compatible CDHP
Governing law:
Internal Revenue Code §223(c)(2)
Related programs:
VEHI Gold CDHP, VEHI Silver CDHP
Parties involved:
Employer, Employee
Required action:
Employee certification and notification of eligibility changes
Signature required:
Yes
Referenced authority:
Internal Revenue Service
Coverage categories:
Self-only coverage, Family coverage
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2023
Region / City:
United States
Subject:
Energy Savings Performance Contract
Document Type:
Template
Organization / Institution:
U.S. Department of Energy
Author:
U.S. Department of Energy
Target Audience:
Energy Services Companies (ESCOs), Contracting Officers
Period of Validity:
Indefinite
Approval Date:
August 2023
Revision Date:
January 24, 2024
Year:
2026
Region / City:
United States
Topic:
Healthcare, Medicare, Accountable Care Organizations
Document Type:
Instruction Manual
Organization:
Centers for Medicare & Medicaid Services (CMS)
Author:
CMS
Target Audience:
Accountable Care Organizations (ACOs), Healthcare Administrators, CMS Staff
Effective Period:
Ongoing, as of January 2026
Approval Date:
January 2026
Revision History Date:
January 2026
Year:
2025
Region / City:
United States
Topic:
340B Program Financial Impact
Document Type:
Tool / Guide
Organization / Institution:
Apexus
Author:
Apexus
Target Audience:
340B Covered Entities, Medicaid Agencies
Period of Validity:
2025
Approval Date:
2025
Modification Date:
Not specified
Date of Issuance:
6/28/2019
Decision Number:
19-06-022
Applications:
14-11-007, 14-11-009, 14-11-010, 14-11-011
Regulatory Body:
California Public Utilities Commission
Type of Document:
Regulatory Decision
Programs Covered:
Energy Savings Assistance (ESA), California Alternate Rates for Energy (CARE)
Program Years:
2015-2017, 2021-2026
Target Audience:
Investor-Owned Utilities, Low-Income Customers
Statutory References:
Public Utilities Code Section 2790(a), Section 382(e)
Petitions:
Public Advocates Office Petition for Modification (denied)
Funding Considerations:
Bridge funding for post-2020 program transition
Year:
2024
Region / City:
United States
Theme:
Medicare Shared Savings Program
Document Type:
Instructional Guide
Organization:
Centers for Medicare & Medicaid Services (CMS)
Author:
Centers for Medicare & Medicaid Services (CMS)
Target Audience:
Accountable Care Organizations (ACOs)
Period of Validity:
Not specified
Approval Date:
October 2024
Date of Modifications:
Not specified
ACO Name and Location:
Legal entity name and address of ACO
ACO Primary Contact:
Primary contact details (name, phone, email)
ACO Participants:
List of certified ACO participants by their legal business name
ACO Governing Body:
Information on governing body members’ names, positions, and voting power
Key ACO Clinical and Administrative Leadership:
ACO Executive, Medical Director, Compliance Officer, and Quality Assurance/Improvement Officer names
Types of ACO Participants:
Description of ACO participant types
Shared Savings and Losses:
Amount of shared savings/losses for completed performance years
Year:
2021
Region / city:
South Africa
Topic:
Retirement Savings Withdrawal
Document type:
Form
Organization:
Fairsure Administration
Author:
Fairsure Administration
Target audience:
Fund members
Effective period:
From 1 March 2021
Approval date:
Not specified
Modification date:
Not specified
Date:
DD/MM/YYYY
Type of Document:
Bank Form
Purpose:
Account Closure
Account Type:
Savings
Account Holder:
Primary and Joint Holders
Bank:
ICICI Bank
Instructions Included:
Yes
Payment Options:
Transfer to ICICI Gift City Account or Other Bank Account
Signatures Required:
All Account Holders
Employee Details:
Branch Official Number and Branch SOL ID
Year:
2023
Region / city:
Chicago, U.S.A.
Subject:
Network Energy Saving
Document Type:
Change Request
Organization / Institution:
3GPP
Author:
InterDigital
Target Audience:
3GPP members, RAN2 working group
Action Period:
November 2023
Approval Date:
2023-11-03
Change Category:
B (addition of feature)
Release:
Rel-18
Year:
2019
Region / City:
United States
Subject:
Energy conservation, procurement contracts
Document Type:
Template
Agency/Institution:
U.S. Department of Energy
Author:
U.S. Department of Energy
Target Audience:
Agency contracting officers, energy services companies
Period of Validity:
Indefinite
Approval Date:
October 24, 2019
Amendment Date:
December 4, 2019
Note:
Context
Year:
2022
Region / City:
Illinois
Subject:
Market Transformation Savings Protocol
Document Type:
Protocol
Organization:
Illinois Stakeholder Advisory Group (IL SAG)
Author:
Not specified
Target Audience:
Utilities, evaluators, stakeholders in energy efficiency initiatives
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Last Changes:
Not specified
Year:
2015
Region / City:
California
Topic:
Energy Savings Adjustments
Document Type:
Resolution
Organization:
California Public Utilities Commission (CPUC)
Author:
California Public Utilities Commission (CPUC)
Target Audience:
Energy utilities, policy makers, energy efficiency program administrators
Effective Period:
2015 and onwards
Approval Date:
2015
Revision Date:
N/A
Year:
2023
Region / City:
Northern Savings Credit Union
Topic:
IT Change Management
Document Type:
Guidelines
Organization:
Northern Savings Credit Union
Author:
Northern Savings Change Management Team
Target Audience:
Change Managers, CAB members, IT staff
Effective Period:
Ongoing
Approval Date:
Not specified
Modification Date:
Not specified
Supporting Statement for Form SSA-6233 Representative Payee Report of Benefits and Dedicated Account
Year:
2012
Region / City:
USA
Subject:
Social Security Administration Reporting Requirements
Document Type:
Supporting Statement
Agency:
Social Security Administration (SSA)
Author:
Social Security Administration
Target Audience:
Representative Payees
Period of Validity:
Ongoing
Approval Date:
September 17, 2012
Amendment Date:
November 29, 2012
Description:
A statement from the SSA outlining the requirements for representative payees to report and maintain dedicated accounts for certain SSI and Social Security payments.
Year:
2021-22
Region / City:
Oregon
Topic:
Education, Student Investment Account
Document Type:
Template
Institution:
Oregon Department of Education
Author:
Unknown
Target Audience:
School districts, educational leaders
Period of Validity:
2021-22 school year
Approval Date:
Not specified
Date of Last Change:
Not specified
Year:
2023
Region / City:
Montana
Theme:
Account Management, Security
Document Type:
Procedure
Organization / Institution:
Montana Government
Author:
Not specified
Target Audience:
Okta users
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Institution:
University of Huddersfield
Programme:
Impact Acceleration Account (IAA)
Type of document:
Funding application form
Funding bodies:
AHRC; ESRC; EPSRC
Maximum funding amount:
£5,000
Purpose:
Proof of Market activities
Eligible applicants:
Academic staff of the University of Huddersfield
Project duration limits:
Up to 6 months for AHRC and EPSRC funded projects
Funding end dates:
March 2027 (AHRC and EPSRC); March 2028 (ESRC)
Geographic scope:
United Kingdom
Related policy framework:
UK Industrial Strategy
Data considerations:
Equality, Diversity, and Inclusion monitoring
Associated processes:
Invention Disclosure; partner organisation approval; school approval
Administrative contact:
IAA Programme Manager
Year:
2024
Region / City:
Global
Topic:
Financial Report
Document Type:
Financial Report
Organization:
International Olympic Committee (IOC)
Author:
Not specified
Target Audience:
IOC Executive Council, Assembly, and Financial Committee
Period of Action:
2024–2025
Approval Date:
Not specified
Date of Changes:
Not specified