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NOTE TO GROUP ADMINISTRATORS Submit this form to Medical Eye Services for initial group enrollment only. All additions or changes to the original group enrollment should be reported on the Eligibility

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What is application for group insurance?

Application for group insurance is a form that collects information about a group of individuals who are applying for insurance coverage as a group.

Who is required to file application for group insurance?

The employer or the group representative is required to file the application for group insurance.

How to fill out application for group insurance?

To fill out the application for group insurance, you need to provide all the required information about the group members, including their personal details, medical history, and desired coverage options.

What is the purpose of application for group insurance?

The purpose of the application for group insurance is to gather the necessary information for the insurance provider to assess the risk and determine the premium rates for the group.

What information must be reported on application for group insurance?

The application for group insurance typically requires information such as the names, ages, addresses, and dependents of the group members, as well as their medical history and any pre-existing conditions.

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