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For GWL Head Office Use Only GWL Certificate Number GROUP COVERAGE CHANGE FORM Please print clearly and complete both sides of this form in INK. Sections 1 2 are to be completed by the plan administrator and sections 3 through 11 are to be completed by the plan member for applicable changes. The plan administrator should keep a copy of the completed form for their records and send the original to The Great-West Life Assurance Company. Please prin...
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Group coverage refers to health insurance coverage provided by an employer or organization to a group of its employees or members.
The employer or organization providing the group coverage is required to file gwl - group coverage.
To fill out gwl - group coverage, the employer or organization must gather the necessary information about the covered individuals, such as their names, dates of birth, and insurance plan details. This information is then reported to the appropriate regulatory authority.
The purpose of gwl - group coverage is to provide information about the health insurance coverage provided to a group of individuals, ensuring compliance with applicable regulations and facilitating the administration of healthcare benefits.
The information reported on gwl - group coverage may include the names and addresses of covered individuals, their social security numbers, dates of birth, coverage start and end dates, and details about the insurance plan.
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