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Small Group Application North Shoreline Reconnect Insurance Company, Inc. Attention: Group Enrollment Department 2200 Northern Boulevard, Suite 104, East Hills, NY 11548 855-706-7545 www.NSLIJCareConnect.com
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How to fill out small group application 2015:

01
Start by obtaining a small group application form for the year 2015.
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Carefully read through the entire application form to understand the required information and any specific instructions mentioned.
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Begin by providing your personal details, such as your full name, address, contact information, and any other requested information.
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Fill in any necessary demographic information, such as age, gender, and occupation.
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If applicable, provide information about any existing medical conditions or allergies that may be relevant for the small group application.
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Answer any additional questions or sections on the application form, such as preferences for group types or meeting times.
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Attach any required documentation, such as a photo ID or proof of address, as specified in the application form.
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Review the completed application form to ensure all information is accurate and complete.
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Sign and date the application form, confirming that all information provided is truthful and correct.
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Submit the filled-out application form as per the instructions mentioned in the application. This may include mailing the form, submitting it online, or handing it in person to the relevant authority.

Who needs small group application 2015?

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Individuals who are interested in joining a small group for a particular program or activity.
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Remember, the need for a small group application may vary depending on the specific program or organization, so it is essential to check the requirements and guidelines for each application.
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Small group application is a form that businesses with a certain number of employees must submit to apply for group health insurance coverage for their employees.
Businesses with a certain number of employees, typically between 1 to 50 employees, are required to file a small group application.
Small group applications can usually be filled out online through the insurance provider's website or submitted through a licensed insurance broker.
The purpose of a small group application is to apply for group health insurance coverage for employees of a business.
Information such as the business name, number of employees, employee demographics, and desired coverage options must be reported on a small group application.
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