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State of Massachusetts: Health Insurance Responsibility Disclosure Requirement

At Madison Resources, it is our hope that we are perceived as a true partner to your staffing firm. To that end, we are always looking to assist you in providing necessary information, to promote accuracy and efficiencies, and make helpful resources available to you.

As a reminder, the Health Insurance Responsibility Disclosure (HIRD) form is a state reporting requirement in Massachusetts, which was originally launched in 2018. State law requires every in-state and out-of-state employer who had six or more employees within Massachusetts during the past 12 months, to annually submit a HIRD form, which collects information about your employer-sponsored insurance offerings. The HIRD reporting requirement is administered by MassHealth and the Department of Revenue through your MassTaxConnect (MTC) account.

The HIRD form will assist MassHealth in identifying its members with access to qualifying employer-sponsored insurance who may be eligible for the MassHealth Premium Assistance Program.

What does this mean for you?

The HIRD form will be available to employers to be filled out electronically starting November 15th and must be completed by December 15th of the reporting year.

To complete your HIRD form:

  1. Login to your MassTaxConnect (MTC) account
  2. Scroll down to the Withholding Tax section of the Summary page
  3. Select the File a health insurance responsibility disclosure hyperlink

How Can We Help?


If you have trouble locating your login credentials that you provided to Madison Resources previously, you may contact the Payroll Tax Supervisor, Sandra Drapeau, at the following email address: SDrapeau@madisonresources.com. She can provide you with your User Name and Password to access your account and complete the form.

As always, we recommend speaking with your attorney, CPA, or industry professional for further guidance.

For more information:

To access the FAQ’s:
HIRD FAQs


Contact Information:


To speak to a representative of the Department of Revenue’s Customer Service Center:


Call: (617) 466-3940 and choose the option to speak with a HIRD representative.


The toll-free line available is: (800) 392-6089


Explore our website to find more Legislative Updates. Madison Resources is the premier payroll funding and back office support partner to the staffing industry. Grow with confidence.