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Please contact the Health Net Customer Contact Center at the toll-free numbers below should you need assistance in completing this form or if you have questions about your coverage: English Cantonese

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What is small business group enrollment?

Small business group enrollment is the process of enrolling a group of employees from a small business into a health insurance plan.

Who is required to file small business group enrollment?

Small businesses with eligible employees who want to offer health insurance coverage to their employees are required to file small business group enrollment.

How to fill out small business group enrollment?

Small business group enrollment can be filled out by providing the required information about the small business and its employees, including personal details and coverage preferences.

What is the purpose of small business group enrollment?

The purpose of small business group enrollment is to facilitate the enrollment process for small businesses and provide them with health insurance options for their employees.

What information must be reported on small business group enrollment?

Small business group enrollment typically requires information such as business name, employee details, employment status, and desired coverage options.

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