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Member Enrollment Application (Group size 100+) Please print in ink and return to your employer. Use extra sheets if necessary. BlueChoice Healthcare Plan (HMO), Blue Open Access HMO, BlueChoice Option
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How to fill out group size 100:

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Group size 100 refers to a group of 100 individuals.
Employers with 100 or more employees are typically required to file group size 100.
Group size 100 form can be filled out online or on paper, providing details about the employees in the group.
The purpose of group size 100 is to track and report on the number of employees in a specific group.
Group size 100 typically requires reporting on the number of employees, their demographics, and other relevant information.
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