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Member Enrollment Application
(Group size 299)
Please print in ink and return to your employer. Use extra sheets if necessary.
BlueChoice Healthcare Plan (HMO), Blue Open Access HMO, BlueChoice Option
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What is group size 2-99?
Group size 2-99 refers to the number of individuals in a group that falls within the range of 2 to 99 members.
Who is required to file group size 2-99?
Employers or organizations that have a group of 2 to 99 members are required to file group size 2-99.
How to fill out group size 2-99?
Group size 2-99 can be filled out by providing the necessary information about the group members and other relevant details in the required form.
What is the purpose of group size 2-99?
The purpose of group size 2-99 is to provide information about the size of a group and its composition for administrative and regulatory purposes.
What information must be reported on group size 2-99?
Information such as the names, ages, gender, and other relevant details of the group members must be reported on group size 2-99.
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