The Health Insurance Responsibility Disclosure (HIRD) form is a state reporting requirement in Massachusetts that applies to in-state and out-of-state employers with six or more employees working in Massachusetts. The HIRD form collects employer-level information about employer-sponsored health plans to assist MassHealth in identifying members who can participate in, and who may be eligible for premium assistance from, MassHealth. The HIRD reporting is filed through the MassTaxConnect (MTC) web portal by December 15 but is available to complete starting November 15.
To file a HIRD form, employers must log in to their MTC account and select the “Withholding tax” account, then select the “File health insurance responsibility disclosure” hyperlink.
MA HIRD Form FAQs and Instructions »