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Get the free KFHP-MAS/KPIC Small Group Enrollment and Change Form

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DISTRICT OF COLUMBIA Kaiser Foundation Health Plan of the mid-Atlantic States, Inc. (THOMAS) 2101 East Jefferson Street Rockville, MD 20852Kaiser Permanent Insurance Company (EPIC) One Kaiser Plaza
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How to fill out kfhp-maskpic small group enrollment

01
Access the kfhp-maskpic small group enrollment form online or obtain a physical copy from Kaiser Permanente.
02
Provide your organization's information such as name, address, and contact details.
03
Include the employee information, including their names, social security numbers, and contact details.
04
Specify the desired plan option and coverage details for the group.
05
Fill out the employee contribution information, including the amount or percentage to be contributed.
06
Provide any additional information or documentation required, such as proof of eligibility or previous coverage details.
07
Review the completed form for accuracy and completeness.
08
Sign and date the enrollment form.
09
Submit the form to Kaiser Permanente via mail or online submission as specified.

Who needs kfhp-maskpic small group enrollment?

01
The kfhp-maskpic small group enrollment is needed by organizations or businesses that want to enroll their employees in Kaiser Permanente's healthcare coverage plans. It is specifically for small groups or businesses with a limited number of employees seeking group health insurance options.
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kfhp-maskpic small group enrollment is the process of enrolling a small group of individuals in a health insurance plan offered by Kaiser Foundation Health Plan.
Employers with a small group of employees who are eligible for the health insurance plan must file kfhp-maskpic small group enrollment.
To fill out kfhp-maskpic small group enrollment, employers must provide information about their company and eligible employees, including demographics, employment status, and coverage selections.
The purpose of kfhp-maskpic small group enrollment is to ensure that eligible employees have access to a comprehensive health insurance plan provided by Kaiser Foundation Health Plan.
Information such as employee demographics, employment status, coverage selections, and any other relevant details must be reported on kfhp-maskpic small group enrollment.
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