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SMALL GROUP BUSINESS APPLICATION (For small employers 1 to 50 employees headquartered in West Virginia) Complete this application in its entirety in blue or black ink. Do not use pencil or highlighter.
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How to fill out small group business application

How to fill out small group business application
01
Start by gathering all the necessary information and documents required for the application, such as business details, employee information, and financial records.
02
Research and choose a suitable small group business insurance provider that offers the coverage and benefits you require.
03
Visit the insurance provider's website or contact their customer service to obtain the small group business application form.
04
Fill out the application form carefully, providing accurate and complete information for each section.
05
Make sure to attach any requested supporting documents, such as tax forms, proof of business registration, or employee census data.
06
Review the completed application form and supporting documents to ensure everything is accurate and in order.
07
Submit the filled-out application form and supporting documents to the insurance provider, either by mail, email, or through their online application portal.
08
Keep a copy of the submitted application and any related correspondence for your records.
09
Follow up with the insurance provider to confirm receipt of your application and to inquire about the processing timeline.
10
Once your application is reviewed and approved, the insurance provider will provide you with a small group business insurance policy and coverage details.
Who needs small group business application?
01
Small business owners who want to provide health insurance benefits to their employees.
02
Companies with a small number of employees, typically ranging from two to fifty employees, depending on the insurance provider's definition of a small group.
03
Businesses that want to take advantage of group purchasing power to access more competitive insurance rates and broader coverage options.
04
Employers who want to comply with state or federal regulations mandating health insurance coverage for small group businesses.
05
Businesses in industries or professions where offering health insurance is a common practice or a competitive advantage in attracting and retaining employees.
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