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Large Group Proposal Request Broker Name: Broker of Record Yes No Group Name: Group Address: Nature of Business: Current Carrier: Years with current carrier: Renewal Date: Current Plan Design: Plan
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The large group form PDF refers to the IRS form used for reporting information about large groups, such as employer-sponsored health coverage, under the Affordable Care Act (ACA).
Large employers, generally those with 50 or more full-time employees or equivalents, are required to file the large group form PDF.
To fill out the large group form PDF, the employer needs to provide information about the coverage offered to employees, including details about the plan, number of employees covered, and the cost of coverage.
The purpose of the large group form PDF is to gather data on the health coverage offered by large employers, ensuring compliance with the ACA's employer shared responsibility provisions.
The large group form PDF requires employers to report information such as the number of full-time employees, details about the health coverage offered, and information about employee enrollment and participation.
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