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MONTANA GROUP MASTER APPLICATION EMPLOYER INFORMATION Effective Date of This Policy: Legal Name of Group: DBA Name (will appear on bills/ID cards) (35-character limit): Business Street Address: City:
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What is montana group master application?
Montana group master application is a form that is required to be filed by certain individuals or entities in Montana to report their group insurance coverage information.
Who is required to file montana group master application?
Employers or plan administrators who provide group health insurance coverage to Montana residents are required to file montana group master application.
How to fill out montana group master application?
To fill out montana group master application, you need to provide detailed information about the group health insurance coverage being offered, including the rates, coverage period, and participating individuals.
What is the purpose of montana group master application?
The purpose of montana group master application is to collect information about group health insurance coverage provided in Montana for regulatory and monitoring purposes.
What information must be reported on montana group master application?
Montana group master application requires reporting of information such as policy details, premiums, covered individuals, and effective dates of coverage.
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