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California Small Business Group Acceptance/Change Form Effective January 1, 2020, Please indicate reason for change: New Business: Acceptance of new coverageRenewals: Acceptance of renewal with new
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To fill out working 2029 hours per, individuals must accurately report the total number of hours worked in the specified period.
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The information that must be reported on working 2029 hours per includes the total number of hours worked by the individual in a specific period.
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