Helpful forms and official links
Benefits rules come from a handful of government agencies. These are their official pages for the questions people ask most, with a short note on what each one is and when you'd use it.
Last checked: Nov 2026
For employees
For your own health coverage, leave, savings accounts, and retirement plan. For plain-language explanations first, see the employee guides.
HealthCare.gov
Getting health coverage outside Open Enrollment
Explains Special Enrollment Periods: life changes, like getting married, having a baby, or moving, that can let you sign up for a Marketplace plan outside Open Enrollment. Use it when your life changes during the year.
HealthCare.gov
Glossary
An A-to-Z list of health insurance words with plain definitions. Use it when a word in your plan papers doesn't make sense.
CMS.gov
Medical bill rights
Explains the No Surprises Act, which protects you from many unexpected out-of-network bills, and your right to a good faith cost estimate if you don't use insurance. Use it when a medical bill surprises you.
DOL.gov
Continuation of Health Coverage (COBRA)
Explains COBRA, which can let you and your family keep your work health plan for a limited time after a job loss, fewer hours, or other life events, often paying the full cost yourself. Use it when you leave a job.
DOL.gov
Portability of Health Coverage (HIPAA)
Explains HIPAA protections in work health plans: plans can't treat you differently because of your health, and certain events give you a special chance to enroll. Use it when you want to join a work plan outside the usual signup time.
DOL.gov
Family and Medical Leave Act
Explains FMLA: up to 12 weeks of unpaid, job-protected leave in a 12-month period for reasons like a new baby or a serious health condition, with your work health coverage kept. Use it before you ask for time off (not every job qualifies).
DOL.gov
Ask EBSA
The Labor Department's help desk for questions about job-based health and retirement plans, with quick answers and benefits advisors at (866) 444-3272. Use it when your plan isn't working the way it should.
IRS.gov
About Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans
The IRS's official guide to HSAs, health FSAs, HRAs, and similar accounts. Use it when you need the exact tax rules for one of these accounts.
IRS.gov
About Form 8889, Health Savings Accounts (HSAs)
The tax form used to report money put into or taken out of an HSA, including what your employer added. Use it at tax time if you had an HSA during the year.
IRS.gov
Plan participant/employee
The IRS's retirement plan pages for workers: saving, putting money in and taking it out, life changes, and retiring. Use it when you have a question about your 401(k) or similar plan.
Medicare.gov
Welcome to Medicare
The official Medicare website, where you can find and compare health and drug plans. Use it when you or a family member are getting close to Medicare age or already have Medicare.
SSA.gov
Disability
Explains Social Security Disability Insurance (SSDI): monthly payments for people with enough work history whose disability stops or limits their ability to work. Use it if a health problem keeps you from working.
For employers
For business owners and HR teams: tax rules, required forms and reports, and federal rules on health coverage and leave. For plain-language explanations first, see the employer and HR guides.
IRS.gov
About Publication 15-B, Employer's Tax Guide to Fringe Benefits
The IRS guide to how employee benefits and perks are treated for payroll taxes. Use it when you add or change a benefit and need to know how to handle it in payroll.
IRS.gov
Employer shared responsibility provisions
Explains the Affordable Care Act "employer mandate": certain larger employers (called applicable large employers) must offer affordable coverage to full-time workers or may owe a payment. Use it to check whether the rule applies to your business.
IRS.gov
About Form 1095-C, Employer-Provided Health Insurance Offer and Coverage
The form applicable large employers file for each full-time employee to report the health coverage offered. The page also links the instructions for Forms 1094-C and 1095-C. Use it at year-end reporting time.
IRS.gov
About Form 1094-C, Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
The cover form that must be filed with your Forms 1095-C. Use it alongside Form 1095-C when you send your yearly health coverage reports to the IRS.
IRS.gov
Small Business Health Care Tax Credit and the SHOP Marketplace
Explains a tax credit for small employers with fewer than 25 full-time equivalent employees that offer a SHOP Marketplace plan and pay at least half the cost of employee-only coverage. Use it to see if your business might qualify.
HealthCare.gov
Small Business Health Options Program
HealthCare.gov's section for employers: SHOP coverage, other options like Health Reimbursement Arrangements (HRAs), and help for the self-employed. Use it when comparing ways to offer health coverage.
DOL.gov
An Employer's Guide to Group Health Continuation Coverage Under COBRA
The Labor Department's guide to COBRA for employers: which plans it generally covers (20 or more employees), the notices you must send, and how long coverage lasts. Use it when someone leaves or has their hours cut.
DOL.gov
Family and Medical Leave Act Employer Guide
The Labor Department's FMLA guide for employers, following the steps from an employee's leave request to their return to work. Use it when an employee asks for family or medical leave.
DOL.gov
Form 5500 Series
The yearly report many employee benefit plans must file electronically, with past forms and instructions by year. Use it when your plan's annual filing comes up.
IRS.gov (PDF)
Publication 4222, 401(k) Plans for Small Businesses
A booklet from the Labor Department and the IRS on starting and running a 401(k) plan at a small business. Use it if you're thinking about offering a retirement plan (check IRS.gov for this year's dollar limits).