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Application for Small Group Dental Coverage P.O. Box 75983 Seattle WA 98175-0983 (206) 528-5335 or (800) 572-7835 x 5335 Group Information New Group # (Internal Use Only) Group Name Phone Number Fax
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How to Fill out an Application for a Small Group:

01
Start by gathering all the necessary information and documents that will be required for the application process. This may include personal identification documents, financial information, and any relevant certifications or licenses.
02
Carefully read through the application form and instructions provided. Make sure to understand the eligibility criteria and any specific requirements or deadlines mentioned.
03
Begin filling out the application form by providing your personal details, such as your name, contact information, and address. Ensure that all the information is accurate and up to date.
04
If the application requires information about your small group, provide a description of the group's purpose, goals, and activities. Include any relevant background information or achievements that may strengthen your application.
05
If the application requests financial information, be prepared to provide details about the group's budget, income, expenses, and any funding sources. It may be necessary to include relevant financial documents, such as bank statements or tax returns.
06
Review all the sections of the application form and make sure to complete each one thoroughly. If there are any optional sections or questions, consider providing additional information that may enhance your application.
07
Attach any supporting documents that may be required, such as references, letters of recommendation, or a small group constitution. Ensure that these documents are neatly organized and clearly labeled.
08
Before submitting the application, review it carefully for any errors or omissions. Double-check that all the required documents have been included. It may be helpful to have someone else proofread your application to ensure its accuracy.

Who Needs an Application for a Small Group?

01
Small group organizers: Individuals or organizations responsible for establishing and running small groups may need to fill out an application to ensure they meet the criteria set by the governing body or organization overseeing the group's activities.
02
Funding agencies or grants: Funding agencies or organizations offering grants or financial support to small groups may require applicants to submit an application to assess eligibility and determine if the group aligns with their objectives and priorities.
03
Membership-based organizations: Membership-based organizations that aim to provide resources and support to small groups may request applicants to fill out an application to evaluate if the group's mission and activities align with the organization's goals and values.
In conclusion, filling out an application for a small group requires careful attention to detail, providing accurate information, and including any necessary supporting documents. It is essential to understand the eligibility criteria and requirements set by the governing body or organization responsible for processing the applications.
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The application for small group is a form that helps businesses apply for health insurance coverage for their employees in a small group setting.
Employers with a small group of employees, typically between 2 to 50 employees, are required to file the application for small group health insurance coverage.
To fill out the application for small group, employers need to provide information about their business, employees, desired coverage, and other relevant details as requested in the form.
The purpose of the application for small group is to help employers secure health insurance coverage for their employees in a cost-effective and efficient manner.
Employers must report information such as business details, employee demographics, desired coverage options, and other relevant data on the application for small group.
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