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RHODE ISLAND SMALL BUSINESS ATTESTATION This document is to be provided to Tufts Health Plan when a Quarterly Tankage and Report is not required to be filed. Employer Group Name: Eligibility of Group:

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How to fill out forms documentsemployertufts health plan

01

Step 1: Gather all the necessary information and documents required to fill out the forms.

02

Step 2: Review the forms to understand the information they are requesting.

03

Step 3: Begin filling out the forms by entering your personal details such as name, address, and contact information.

04

Step 4: Provide the necessary employment-related information, such as your employer's name (Tufts Health Plan), job title, and duration of employment.

05

Step 5: Fill out the sections related to the specific health plan details, such as coverage options, premium payment preferences, and any additional coverage required.

06

Step 6: Double-check all the information filled in the forms for accuracy and completeness.

07

Step 7: Sign and date the forms as required.

08

Step 8: Submit the completed forms to the appropriate authority or department responsible for processing them. If unsure, contact Tufts Health Plan for guidance.

Who needs forms documentsemployertufts health plan?

01

Employees who are part of the Tufts Health Plan and need to update or enroll in their health insurance coverage will need these forms.

02

Employers who are administering the Tufts Health Plan and require their employees to fill out these forms for enrollment or other related purposes will also need them.

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