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This document is a request for small groups to adjust their Anthem health plan renewal date to a fourth quarter 2013 date, providing stability and the ability to secure current benefits at 2013 base
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How to fill out small group 2013 renewal

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How to fill out Small Group 2013 Renewal Date Adjustment Request

01
Obtain the Small Group 2013 Renewal Date Adjustment Request form.
02
Fill in the group's identification details, including name, address, and contact information.
03
Provide the current renewal date for the small group plan.
04
Indicate the desired new renewal date in the specified section.
05
Explain the reason for the adjustment request in the comments section.
06
Review all the information entered for accuracy.
07
Sign and date the form to certify the information provided.
08
Submit the completed form to the appropriate department or contact as specified.

Who needs Small Group 2013 Renewal Date Adjustment Request?

01
Small businesses with a small group health insurance plan that need to change their renewal date.
02
Employers seeking to align their health insurance renewal dates with their fiscal year or other benefits.
03
Groups experiencing changes in employee numbers or plan structure that affect their renewal date.
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The Small Group 2013 Renewal Date Adjustment Request is a formal request submitted by small businesses to adjust the renewal date of their health insurance plans in accordance with regulations applicable to the year 2013.
Small employers with group health plans who wish to change their plan's renewal date to comply with the 2013 insurance regulations are required to file this request.
To fill out the Small Group 2013 Renewal Date Adjustment Request, employers must complete the designated form provided by their insurance carrier or state department of insurance, providing necessary information such as current and requested renewal dates and any additional details as required.
The purpose of the Small Group 2013 Renewal Date Adjustment Request is to ensure that small businesses can align their insurance plan renewal dates with regulatory requirements, thus maintaining compliance and avoiding penalties.
Information that must be reported includes the current renewal date, the requested new renewal date, the insurance policy number, employer information, and any relevant details about the small group health plan.
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