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Get the free 2013 Agency Resolution for PLAN Participation in Health, Dental, Life or Vision

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This document outlines the resolutions made by a member agency of the New York Council of Nonprofits, Inc. (NYCON) regarding the participation in various employee benefit plans including health, dental,
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How to fill out 2013 agency resolution for

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How to fill out 2013 Agency Resolution for PLAN Participation in Health, Dental, Life or Vision

01
Begin by downloading the 2013 Agency Resolution form from the relevant health plan's website.
02
Read the instructions carefully to understand the requirements and any specific clauses pertinent to your agency.
03
Fill in the agency name and address in the designated fields at the top of the form.
04
Specify the type of participation being requested (Health, Dental, Life, Vision) in the appropriate section.
05
Include details about the authorized representative who will act on behalf of the agency, including name, title, and contact information.
06
Ensure that all required signatures are obtained from the agency's authorized personnel.
07
Review the completed form for any errors or missing information before submission.
08
Submit the completed 2013 Agency Resolution to the relevant health plan as instructed, either via mail or electronic submission if available.

Who needs 2013 Agency Resolution for PLAN Participation in Health, Dental, Life or Vision?

01
Agencies or organizations that wish to participate in group health, dental, life, or vision insurance plans offered by a particular provider.
02
Employers looking to provide benefits to their employees.
03
Trustees or decision-makers handling benefits at agencies wishing to standardize health coverage options.
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The 2013 Agency Resolution for PLAN Participation is a formal document that allows agencies to participate in specific health, dental, life, or vision insurance plans offered to employees.
Agencies that wish to enroll in the insurance plans for their employees are required to file the 2013 Agency Resolution.
To fill out the 2013 Agency Resolution, the agency must provide pertinent information such as the agency's name, type of participation, and authorized signature, ensuring that all required fields are completed accurately.
The purpose of the 2013 Agency Resolution is to establish a formal agreement enabling employee participation in selected insurance plans and to ensure compliance with necessary regulations.
The information required includes the agency's name, authorized representative, type of plans being opted for, effective date of participation, and other relevant details as specified in the form.
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