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EMPLOYER GROUP APPLICATION (Becomes part of the Group Policy) Underwritten by: STERLING LIFE INSURANCE COMPANY Bellingham, WA 982275348 Third Party Administrator: Maritain Health 1405 Medium Lane
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How to fill out employer group application

Who needs employer group application?
01
Companies or organizations looking to provide health insurance benefits to their employees typically need to fill out an employer group application.
02
These applications are typically required by insurance providers in order to assess the risk and eligibility of the employer group.
03
Employers who want to offer health insurance options and coverage to their employees need to complete an employer group application.
How to fill out employer group application:
01
Begin by gathering all the necessary information and documentation required by the insurance provider. This may include details about the company, such as its legal name, address, and tax identification number.
02
Familiarize yourself with the application form and instructions provided by the insurance provider. Be sure to read through all the questions and requirements to ensure accurate completion.
03
Provide accurate information about the number of employees and their dependent coverage needs. This may include details about the age, gender, and relationship of dependents.
04
Fill in information about the desired coverage options. This may involve selecting the type of plan (such as HMO or PPO), indicating the desired deductibles and co-pays, and specifying any additional coverage desired.
05
Include information about the company's current health insurance coverage, if applicable. This may involve providing details about the existing plan and carrier, as well as any termination dates.
06
Upload any required supporting documents, such as employee census data, proof of prior coverage, or any other documentation requested by the insurance provider.
07
Double-check all the entered information before submitting the application. Make sure all the answers are accurate and complete.
08
Submit the employer group application according to the instructions provided by the insurance provider. This may involve submitting it electronically through an online portal or via mail.
09
Keep a copy of the submitted application for your records. This will be helpful for future reference and may be required by the insurance provider or regulatory authorities.
Overall, filling out an employer group application requires careful attention to detail and accurate provision of information about the company, its employees, and desired insurance coverage. It is important to follow the instructions provided by the insurance provider and ensure that all required information and documentation are included.
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What is employer group application?
Employer group application is a form that employers must fill out to enroll their employees in a group health insurance plan.
Who is required to file employer group application?
Employers with eligible employees who wish to enroll them in a group health insurance plan are required to file the employer group application.
How to fill out employer group application?
Employers can fill out the employer group application either manually or online, providing accurate information about their employees and desired coverage.
What is the purpose of employer group application?
The purpose of the employer group application is to enroll eligible employees in a group health insurance plan offered by the employer.
What information must be reported on employer group application?
Employers must report information such as employee names, dates of birth, Social Security numbers, and desired coverage options on the employer group application.
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