The Health Insurance Responsibility Disclosure(HIRD) form is a state reporting requirement in Massachusetts. The HIRD form collects employer- level information about your employer-sponsored insurance offerings. The HIRD form will assist MassHealth in identifying its members with access to qualifying employer-sponsored insurance offerings who may be eligible for MassHealth Premium Assistance

Who is required to complete the HIRD form?

State law requires every employer in Massachusetts with six or more employees to annually submit a HIRD form. If you are an employer who currently has (or had) six or more employees in any month during the past 12 months preceding the due date of this form (December 15th of the reporting year), you are required to complete the HIRD form. An individual is considered to be your employee if you as the employer included such individual in your quarterly wage report to the Department of Unemployment Assistance (DUA) during the past 12 months. You are required to complete the HIRD form if you reported six or more employees (includes all employment categories) in any DUA wage report during the past 12 months.

How do I submit the HIRD form?

The HIRD reporting is administered by the DOR through the MassTaxConnect (MTC) web portal. The MTC is where employer-taxpayers register to file returns, forms, and make tax payments. To file your HIRD form, login to your MTC withholding account and select the “File health insurance responsibility disclosure”. If you do not have an MTC account, or if you forgot your password or username, you may follow the instructions provided on the MTC web page (https://mtc.dor.state.ma.us/mtc/_/#1) or contact the DOR at 617-466-3940.

When do I submit the HIRD form?

The HIRD reporting is required annually. The HIRD reporting will be available starting November 15th of the filing year, and must be completed by December 15th of the filing year.

For more information on the HIRD requirements or other services, please contact our firm. We are happy to discuss how we can help you . We look forward to hearing from you.