
WA Kaiser Permanente Small Group Employer Application 2019 free printable template
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2020 Washington Small GroupEMPLOYER APPLICATION
All plans offered and underwritten by
Kaiser Foundation Health Plan of the Northwest
500 NE Multnomah St, Portland, OR 97232. Group number
/Requested
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How to fill out WA Kaiser Permanente Small Group Employer

How to fill out WA Kaiser Permanente Small Group Employer Application
01
Gather your business information, including your Federal Employer Identification Number (FEIN), business address, and contact details.
02
Identify the number of eligible employees and their details, including full-time and part-time status.
03
Complete the sections on the application form that require employer and employee demographics.
04
Select the type of insurance plans you wish to offer (e.g., HMO, PPO).
05
Provide information on any existing coverage, including the name of the insurer and the policy number.
06
Review the application for accuracy and completeness to avoid delays.
07
Sign and date the application to certify the information is correct before submission.
Who needs WA Kaiser Permanente Small Group Employer Application?
01
Small businesses that want to provide health insurance benefits to their employees in Washington State.
02
Employers with a minimum number of eligible employees who are looking to enroll in Kaiser Permanente's health insurance plans.
03
Businesses aiming to comply with the Affordable Care Act (ACA) requirements for offering health coverage.
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What is WA Kaiser Permanente Small Group Employer Application?
The WA Kaiser Permanente Small Group Employer Application is a form that small businesses use to apply for health insurance plans offered by Kaiser Permanente in Washington state.
Who is required to file WA Kaiser Permanente Small Group Employer Application?
Small business employers in Washington state who wish to provide health insurance coverage to their employees are required to file the WA Kaiser Permanente Small Group Employer Application.
How to fill out WA Kaiser Permanente Small Group Employer Application?
To fill out the WA Kaiser Permanente Small Group Employer Application, employers need to provide information about their business, including the number of employees, desired coverage options, and any additional required documentation as specified in the application guidelines.
What is the purpose of WA Kaiser Permanente Small Group Employer Application?
The purpose of the WA Kaiser Permanente Small Group Employer Application is to collect necessary information from small businesses to facilitate enrollment in health insurance plans for their employees.
What information must be reported on WA Kaiser Permanente Small Group Employer Application?
The information that must be reported on the WA Kaiser Permanente Small Group Employer Application includes the employer’s business details, the number of eligible employees, and the selection of health plan options among other requested information.
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