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California Employer Enrollment Application For Small Groups Medical and Dental Health care plans offered by Anthem Blue Cross (Anthem). You, the employer, must complete this application. You are solely
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How to fill out california employer enrollment application
How to fill out california employer enrollment application
01
Open the California Employer Enrollment Application form.
02
Provide your business name and contact details.
03
Enter your federal employer identification number (FEIN).
04
Specify the type of business entity.
05
Indicate whether you have any subsidiaries or affiliated companies.
06
Enter your business's principal business activity.
07
Provide information about the number of employees and average monthly wages.
08
Fill out the section related to worker's compensation insurance.
09
Answer the questions regarding state disability insurance and unemployment insurance.
10
Complete the section on group health insurance coverage.
11
Submit the completed California Employer Enrollment Application form.
Who needs california employer enrollment application?
01
Employers in California who want to enroll in the state's employment program to comply with labor laws and regulations need the California Employer Enrollment Application.
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What is california employer enrollment application?
California employer enrollment application is a form that employers in California must submit to enroll in the state's employment development department (EDD) program.
Who is required to file california employer enrollment application?
All employers in California who have employees must file the california employer enrollment application.
How to fill out california employer enrollment application?
Employers can fill out the california employer enrollment application online on the EDD website or submit a paper form by mail.
What is the purpose of california employer enrollment application?
The purpose of the california employer enrollment application is to register employers with the EDD and report information about their employees.
What information must be reported on california employer enrollment application?
Employers must report details about their business, including the number of employees, payroll information, and contact information.
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