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ASSURE GROUP APPLICATION Employer Demographics Information Effective Date: 1Full Legal Name of Employer: (remember that full legal names usually have an INC, or LLC, or Corporation at the end of the

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What is assure group application?

The assure group application is a form that companies or organizations need to fill out to apply for group insurance coverage.

Who is required to file assure group application?

Companies or organizations that want to provide group insurance coverage to their employees or members are required to file the assure group application.

How to fill out assure group application?

To fill out the assure group application, companies or organizations need to provide information about the group, such as the number of employees or members, coverage options, and any pre-existing conditions.

What is the purpose of assure group application?

The purpose of the assure group application is to apply for group insurance coverage for a company or organization's employees or members.

What information must be reported on assure group application?

Information that must be reported on the assure group application includes the group's demographics, desired coverage options, and any medical history information.

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