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New Small Group Checklist for Final Rates Group Name: Effective Date: Please be aware that rates are subject to change based on final information and census. Hometown Health Enrollment/Change Forms
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To fill out a new small group checklist, follow these steps:

01
First, gather all the necessary information, such as the names of the small group members, their contact details, and any specific requirements or preferences they may have.
02
Next, review the checklist and ensure that you have a clear understanding of each item on it. If there are any terms or instructions that are unclear, seek clarification from a supervisor or colleague.
03
Begin filling out the checklist by providing the required information for each item. This may include the date the small group was formed, the purpose or goals of the group, and any assigned leaders or facilitators.
04
As you complete each item, double-check your work for accuracy and completeness. It's important to be thorough and meticulous in filling out the checklist to ensure that nothing is missed.
05
Once the checklist is filled out, review it one final time to ensure that all information is correct. If any changes or additions need to be made, make them before submitting the checklist.
06
After completing the checklist, it is important to understand who needs a new small group checklist. Typically, group leaders or coordinators are responsible for filling out the checklist. They may also need to consult with potential small group members to gather all the necessary information.
07
Group leaders can use the checklist as a tool to organize and track the progress of their small group. It can help them ensure that all necessary steps are taken and that important information is collected and documented.
08
Additionally, other stakeholders, such as organization administrators or supervisors, may also need access to the checklist to review and monitor the activities of the small groups.
Remember, a new small group checklist is essential for establishing and managing successful small groups. By following the steps mentioned above and understanding who needs this checklist, you can ensure that your small group starts off on the right foot and has all the necessary information to thrive.
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The new small group checklist is a form used to gather information about small groups for regulatory purposes.
Employers with small group health plans are required to file the new small group checklist.
The new small group checklist can be filled out online or on paper by providing information about the small group health plan.
The purpose of the new small group checklist is to ensure compliance with regulations and to gather data about small group health plans.
The new small group checklist requires information such as the plan sponsor's contact information, plan details, and enrollment data.
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