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2018 Sutter Health Plus Small Group Evidence of Coverage and Disclosure Form Plan Name:Effective Groups Effective Date HSA Disclosure for Small Group Compatible Products: If you intend to use this
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Small group evidence is proof of eligibility for a small group health insurance plan.
Employers with a small group health insurance plan are required to file small group evidence.
Small group evidence can be filled out online or by submitting physical documents to the insurance provider.
The purpose of small group evidence is to verify that a small group is eligible for a health insurance plan.
Information such as employee names, ages, and dependent information must be reported on small group evidence.
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