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Group Insurance Quote Request Census Form 314-438-0222 Group Benefits, Inc. 21 Nob Hill Drive, Lower Level St. Louis, MO 63138 PH: 314-438-0222 FAX: 314-355-4512 Email: Robyn Hamlin benefits.net Web:
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Send this form along with a photocopy to: Group Benefits, Inc. 401 East Grand Avenue St Louis, Missouri 63 Phone: Fax: FAX: e-mail: The above Webpages were prepared by Group Benefits Inc.

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The group benefit census form is a form used to collect information about employees who are eligible for group benefit plans provided by an employer.
Employers who offer group benefit plans to their employees are required to file the group benefit census form.
To fill out the group benefit census form, the employer needs to provide information such as the employee's name, age, gender, marital status, dependents, employment status, and other relevant details about their eligibility for the group benefits.
The purpose of the group benefit census form is to gather data on employees who are eligible for group benefit plans. This information helps employers and insurance providers in determining plan eligibility, coverage, and premium calculations.
The group benefit census form typically requires reporting information such as the employee's name, identification number, age, gender, marital status, employment status, dependent details, and other relevant information as required by the employer or insurance provider.
The deadline to file the group benefit census form in 2023 will depend on the specific rules and regulations of the relevant jurisdiction and the employer's specific filing requirements. It is recommended for employers to consult with their legal or benefits advisors to determine the specific deadline.
The penalties for the late filing of the group benefit census form may vary depending on the jurisdiction and the specific regulations. It is advisable for employers to check the applicable laws and regulations or consult with legal or benefits advisors to determine the potential penalties for late filing.
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