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2017 NEW GROUP APPLICATIONEmployer New Group Application Client Information Name: DBA (if applicable):Company address: SSN: Phone: City:Federal Tax ID:State:Date Incorporated:ZIP Code:Organization
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How to fill out employer new group application

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How to fill out employer new group application

01
To fill out an employer new group application, follow these steps:
02
Start by gathering all the required information and documents, such as the employer's name, address, contact information, and tax identification number.
03
Download the new group application form from the employer's insurance provider's website.
04
Fill out the application form accurately and completely. Provide all the necessary details about the employer, such as the number of employees to be covered, their names, birth dates, and social security numbers.
05
Attach any additional required documents, such as proof of the employer's legal existence (e.g., certificate of incorporation or business registration) and proof of tax identification.
06
Review the application form and attached documents to ensure all the information is correct and all necessary documents are included.
07
Submit the completed application form and supporting documents to the employer's insurance provider through the designated submission channel, such as online submission, email, or by mail.
08
Await confirmation from the insurance provider regarding the status of the application. They may reach out for further information or clarification if needed.
09
Once the application is approved, the insurance provider will provide the employer with the necessary information and documents to enroll the employees in the insurance group plan.
10
Follow the instructions provided by the insurance provider to enroll the employees and complete the necessary paperwork.
11
Keep a copy of the completed application form and all submitted documents for future reference.

Who needs employer new group application?

01
Employers who wish to provide health insurance coverage to their employees through a group plan need to fill out an employer new group application. This application is typically required by insurance providers to gather information about the employer and the employees to assess the eligibility and viability of providing insurance coverage. It allows the insurance provider to determine the premiums, coverage options, and terms of the group plan. Therefore, any employer seeking to offer group health insurance to their employees should complete an employer new group application.
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