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Department of Human Services

1095-B Processing

Announcement:-Invitation for Bids
Number:-710-25-021
Closing-Date:-01/08/2025 1:00 pm
Posting-Date:-11/25/2024 3:00 pm
Contact:-Ian Cunningham
Contact-Phone:-501-682-0120
Address:-700 Main Street, Little Rock, Arkansas, 72201

710-25-021 Solicitation

710-25-021 Response Packet

710-25-021 Official Bid Price Sheet

710-25-021 Attachment A Contract and Grant Disclosure Form

710-25-021 Attachment B Written Question(s)

710-25-021 Attachment C Performance Based Contracting

710-25-021 Attachment D Terms and Conditions

710-25-021 Attachment E Pro Forma Service Contract

710-25-021 Attachment F Business Associate Agreement

710-25-021 Attachment G DHS Organizational or Personal Conflict of Interest Clause

710-25-021 Attachment H Combined Certifications Form

710-25-021 Attachment I Client History Form

710-25-021 Attachment J DHS Minimal Essential Coverage 1095-B Compliance Process Flow Narrative

710-25-021 Attachment K Guide for Electronically Filing Affordable Care Act Information Returns

710-25-021 Addendum 1

Bid Opening Link:

1095-B Processing

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