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EMPLOYEE HEALTH ENROLLMENT APPLICATION
Group Size 214Please PRINT in ink and return to your employer. Use extra sheets of paper if necessary. Primary Care
Physician (PCP) listings can be obtained
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How to fill out group size 2-14

How to fill out group size 2-14
01
Start by gathering the necessary information for each person in the group, such as their name and contact details.
02
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Regularly communicate and engage with the group members to keep everyone updated and involved in the group's activities.
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If necessary, appoint a group administrator or moderator to handle any issues or conflicts that may arise within the group.
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These are just a few examples, but any situation that requires close coordination and interaction among a small number of individuals can benefit from a group size of 2-14.
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What is group size 2-14?
Group size 2-14 refers to a group of individuals or entities consisting of 2 to 14 members.
Who is required to file group size 2-14?
Any individual or entity with a group size of 2-14 is required to file group size 2-14.
How to fill out group size 2-14?
To fill out group size 2-14, you will need to provide information about each member of the group, including their names, contact information, and any relevant details.
What is the purpose of group size 2-14?
The purpose of group size 2-14 is to gather data on small groups for reporting and analysis purposes.
What information must be reported on group size 2-14?
Information that must be reported on group size 2-14 includes the names of group members, their roles or positions, and any relevant financial information.
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