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SMALL EMPLOYER GROUP Application Group Administration 441 Ninth Avenue Second Floor New York, NY 100011681 GHI HMO 25 Barbarossa Lane Kingston, NY 124010118 www.ghi.com PRINT IN INK SECTION I GROUP
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How to Fill Out Small Employer Group:

01
Gather the necessary information: Start by gathering all the required information for your small employer group. This may include details such as the company's legal name, address, and contact information, as well as information about the employees who will be covered under the group plan.
02
Determine the type of group plan: Decide on the type of group plan that best suits the needs of your small employer group. This could include options like health insurance, dental insurance, vision insurance, or a combination of these. Research different insurance providers and their plans to find the most suitable option for your employees.
03
Compare and select a provider: Once you have gathered the necessary information and determined the type of group plan, compare different insurance providers. Look for factors such as coverage options, cost, network of providers, and customer reviews. Select a provider that offers the best combination of benefits and affordability for your small employer group.
04
Complete the application process: Fill out the application provided by the insurance provider thoroughly and accurately. Provide all the required information, paying special attention to details such as the number of employees to be covered, their dependents, and any additional coverage options required. Attach any required documents or forms as specified by the provider.
05
Review and submit the application: Before submitting the application, review it carefully to ensure accuracy and completeness. Make sure all employee information is correct, and double-check any forms or supporting documents attached. Once you are confident that everything is accurate, submit the application according to the provider's instructions.

Who Needs Small Employer Group:

01
Small business owners: Small employer group plans are typically designed for businesses with a limited number of employees. Small business owners who want to provide comprehensive health, dental, or vision insurance options for their employees can benefit from a small employer group plan.
02
Employees: Employees of small businesses also benefit from small employer group plans. These plans often offer more affordable coverage options compared to individual plans. It allows employees to access medical, dental, or vision services at discounted rates, ensuring their health and wellbeing.
03
Dependents of employees: Small employer group plans often provide coverage options for employees' dependents as well. This means that family members, such as spouses and children, can also benefit from the insurance coverage offered by the small employer group plan.
In summary, filling out a small employer group involves gathering necessary information, determining the type of plan, comparing providers, completing the application process accurately, and reviewing before submission. Small business owners, employees, and dependents can all benefit from small employer group plans.
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Small employer group refers to a group of employees who work for a company that has a limited number of employees, typically between 2-50 depending on the state regulations.
Small employer group filings are typically the responsibility of the employer or the company's HR department.
Small employer group forms can usually be filled out online through the relevant government agency's website or by using paper forms that can be submitted by mail or in person.
The purpose of small employer group filings is to provide information about the company's workforce, employee benefits, and other relevant details for regulatory and compliance purposes.
Information like employee demographics, enrollment in benefit plans, contributions made by employer and employees, among other details, must be reported on small employer group filings.
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