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CALIFORNIA SMALL BUSINESS. Product and Benefit Selection Form. Effective January 1, 2014. General Information. Group Name. Group Effective Date.
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How to fill out group effective date:

01
Start by entering the date on which the group coverage will become effective.
02
Make sure to double-check the accuracy of the date entered.
03
If there are any specific instructions or requirements provided by the insurance provider, follow them accordingly.
04
If you are unsure about any information or have questions regarding the effective date, reach out to the insurance provider for guidance and clarification.
05
Once you have accurately filled out the group effective date, proceed with submitting the necessary forms or paperwork for enrollment.

Who needs group effective date:

01
Employers who offer group insurance benefits to their employees.
02
Individuals who are part of a group or organization that provides group insurance coverage.
03
Organizations or associations that offer group insurance benefits to their members.
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