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UTAH SMALL EMPLOYER EMPLOYEE HEALTH INSURANCE APPLICATION OFFICE USE ONLY Policy / Group No. REASON FOR ENROLLMENT (mark all that apply) New Group Newborn Loss of Coverage Open Enrollment Court Order
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Utah small employer health is a program that offers health insurance options to small businesses with 1-50 employees.
Employers in Utah with 1-50 employees are required to file for small employer health insurance.
To fill out Utah small employer health, employers need to provide information about their business and employees, including contact information, number of employees, and desired coverage.
The purpose of Utah small employer health is to provide affordable health insurance options to small businesses and their employees.
Employers must report information such as employee demographics, desired coverage options, and employer contribution amounts on Utah small employer health forms.
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