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Small Business Group 2017 Master application for small groups (150 employees) For coverage effective on or after Jan. 1, 2017 1. COVERAGE EFFECTIVE DATE Group name First of (month) Group number(s)

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Individuals who are applying to a master's degree program in 2017.

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What is master application small groups?

Master Application Small Groups is a form used to apply for group health coverage.

Who is required to file master application small groups?

Employers or organizations looking to provide group health coverage for their employees or members.

How to fill out master application small groups?

The form can be filled out online or submitted through a paper application with all required information about the group and its members.

What is the purpose of master application small groups?

The purpose is to apply for group health coverage and provide necessary information for insurance carriers to evaluate the group's eligibility.

What information must be reported on master application small groups?

Information such as employer details, employee/member demographics, and coverage requirements must be provided.

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