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COLORADO UNIFORM EMPLOYEE APPLICATION FOR SMALL GROUP HEALTH BENEFIT PLANS Employee Name: Employer Name: Proposed Effective Date: Group Number (if known): This form is designed for an employee s initial
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How to fill out group number if known

How to fill out group number if known:
01
Find the field for "Group Number" on the form or document you are filling out. It is usually located in the section for personal or contact information.
02
Enter the group number that you have been provided with. The group number is typically used in insurance or healthcare settings to identify a specific group of individuals who share the same plan or benefits.
03
Make sure to double-check the accuracy of the group number before submitting the form. Mistakes in entering the group number could lead to errors in processing or accessing the intended benefits.
Who needs group number if known:
01
Individuals with group insurance: If you have group insurance, typically obtained through your employer or an organization you belong to, the group number is necessary to link your coverage to the correct group plan. It helps the insurance company identify the specific benefits and terms associated with that particular group.
02
Patients in a healthcare system: In some healthcare systems, patients may belong to a specific group based on their employment, membership in organizations, or other criteria. The group number helps healthcare providers identify the appropriate billing and coverage details for each patient.
03
Participants in group plans or programs: Apart from insurance and healthcare, group numbers may also be required for participation in various programs or plans, such as pension plans, discount programs, or affinity groups. These group numbers ensure that the participants receive the relevant benefits or discounts associated with their group membership.
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What is group number if known?
The group number is a unique identification number assigned to a specific group.
Who is required to file group number if known?
The group administrator or designated responsible party is required to file the group number.
How to fill out group number if known?
To fill out the group number, you must enter the assigned number in the designated field on the form.
What is the purpose of group number if known?
The group number is used to identify and track specific groups for administrative and organizational purposes.
What information must be reported on group number if known?
The group number must include details about the group's composition, purpose, and contact information.
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