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VERSION DATE: JANUARY 2018BENEFITAPPLICATION FOR GROUP INSURANCE AVAILABLE TO GROUPS WITH 219 ELIGIBLE EMPLOYEESPolicies are issued by:The EmpireLife Insurance Company EmpireLife 259 King Street East Kingston

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How to fill out benefit application for group

01

Obtain the group benefit application form from the appropriate organization or agency.

02

Read the instructions on the form carefully to understand the required information and supporting documents.

03

Fill out the applicant information section, including the group's name, address, contact details, and any other requested information.

04

Provide the necessary details about the group's purpose, goals, and activities.

05

Attach any supporting documents or evidence required, such as proof of eligibility or financial information.

06

Complete the benefit selection section, indicating the specific benefits the group is applying for.

07

Review the completed application form for accuracy and completeness.

08

Sign and date the application form.

09

Submit the application form along with any required supporting documents to the designated organization or agency.

10

Keep a copy of the completed application and any submitted documents for your records.

Who needs benefit application for group?

01

Any group or organization seeking to apply for benefits provided by a specific organization or agency may need to fill out a benefit application for group. This could include non-profit organizations, community groups, clubs, associations, or other similar entities.

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What is benefit application for group?

Benefit application for group is a form used to apply for benefits on behalf of a group of individuals or employees.

Who is required to file benefit application for group?

Employers or designated representatives are typically required to file benefit applications for groups of employees.

How to fill out benefit application for group?

Benefit applications for groups can be filled out online or through paper forms, providing all necessary information about the group and its members.

What is the purpose of benefit application for group?

The purpose of benefit application for group is to ensure that all members of the group receive the benefits they are entitled to.

What information must be reported on benefit application for group?

Information such as group size, employee details, benefit selection, and coverage options must be reported on benefit application for group.

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