Self-Insured Health Plans (ACA) - Financial Services Form 720

Federally Mandated Reporting/Disclosure Form

Program Title and Description:

Self-Insured Health Plans-Financial Services-Form 720

Who is Responsible for Reporting?

Primary Contact

Steve Foucart, Chief Financial Officer,

What Should be Reported?

Form 720

When Should it be Reported?

July 31

Prepared by BKD, information provided by Med-Pay