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LARGE EMPLOYER GROUP APPLICATION EmblemHealth insurance programs are underwritten by Group Health Incorporated (GHI) and HIP Insurance Company (HI PIC). PRINT IN INK SECTION I: GROUP INFORMATION Company
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How to fill out large employer group application

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How to fill out a large employer group application:

01
Gather all necessary information: Before starting the application, make sure you have all the required information on hand. This may include details about your business, such as the company's name, address, and contact information. You may also need employee information, such as their names, social security numbers, and dates of birth.
02
Complete the general information section: Begin by filling out the general information section of the application. This may include providing the company's legal structure (e.g., corporation, partnership) and the date the business was established. You may also need to indicate the number of employees currently working for the company.
03
Provide employee details: In this section, enter the requested information for each employee. This typically includes their full name, social security number, date of birth, and relationship to the policyholder (e.g., employee, spouse, dependent). If there are differences in coverage or premium contributions among employees, make sure to specify these details.
04
Include coverage details: Specify the type of coverage you are seeking for your employees, such as health insurance, dental insurance, or vision insurance. Provide any necessary details about the coverage, including any specific benefits or limitations.
05
Review and submit the application: Once you have completed all the required sections of the application, carefully review all the information provided to ensure accuracy. Any mistakes or omissions could result in delays or complications in the application process. After reviewing, sign and submit the application as instructed by the insurance provider.

Who needs a large employer group application:

01
Companies with a significant number of employees: Large employer group applications are designed for businesses that have a considerable workforce. Typically, these applications are geared towards companies with 50 or more employees, although this threshold may vary depending on the insurance provider and local regulations.
02
Employers looking to offer group health insurance: If you, as an employer, want to offer health insurance coverage to your employees, you will need to complete a large employer group application. This application allows you to provide all the necessary information about your business and employees to obtain appropriate insurance options.
03
Businesses seeking to customize coverage options: Large employer group applications give employers the opportunity to tailor coverage options to meet the specific needs of their employees. Through these applications, employers can choose from various plans, add-ons, and coverage levels, allowing them to offer a comprehensive and flexible benefits package.
In summary, filling out a large employer group application involves gathering all necessary information, completing the required sections for your business and employees, reviewing the application for accuracy, and submitting it to the insurance provider. These applications are necessary for companies with a significant number of employees who wish to offer group health insurance coverage and customize their benefits package.
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A large employer group application is a form that must be submitted by employers with a certain number of employees to obtain group health insurance coverage.
Employers with a certain number of employees, usually 50 or more, are required to file a large employer group application.
The large employer group application can usually be filled out online through the insurance carrier's website or by contacting a health insurance broker.
The purpose of the large employer group application is to enroll in group health insurance coverage for employees.
Information such as company details, employee demographics, and desired coverage options must be reported on the large employer group application.
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