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NEW HAMPSHIRE SMALL GROUP EMPLOYER APPLICATION FOR 250 EMPLOYEE SMALL GROUPS 1. GROUP INFORMATION Full Legal Name of Group (the Group) Corporate Headquarters Address City State Zip Contact Name Title
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How to fill out new hampshire small group
How to fill out new hampshire small group
01
To fill out the New Hampshire Small Group application, follow these steps:
02
Obtain the Small Group Application form from the New Hampshire Health Plan website.
03
Fill in all necessary information, including the employer details, number of employees, and contact information.
04
Attach any required supporting documents, such as proof of previous coverage or employer eligibility.
05
Review the completed form for accuracy and completeness.
06
Sign and date the application form.
07
Submit the application form and supporting documents to the designated New Hampshire Health Plan office or online portal.
08
Wait for a response from the New Hampshire Health Plan regarding the status of your small group application.
09
Follow any additional instructions provided by the New Hampshire Health Plan to complete the application process.
Who needs new hampshire small group?
01
New Hampshire Small Group is suitable for employers or organizations that have a small number of employees and want to provide health insurance coverage.
02
Employers with 50 or fewer full-time equivalent employees may qualify for the New Hampshire Small Group program.
03
Small businesses, non-profit organizations, and certain other groups can avail of the benefits of the New Hampshire Small Group program.
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