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Delta Dental of VirginiaDeltaVisionDeltaVision is underwritten by Dryden, Inc. 4818 Starkey Road, Roanoke, VA 24018 540.989.8000 800.237.6060 Fax: 540.776.8109Delta Dental Group Enrollment Form Important:
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How to fill out 1061 small group enrollment

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How to fill out 1061 small group enrollment

01
Obtain Form 1061 Small Group Enrollment form from the appropriate source.
02
Fill out the required fields on the form, including but not limited to group name, group number, group address, and group contact information.
03
Provide information on the individuals enrolling in the group, including name, date of birth, gender, and relationship to the group.
04
Include any additional information or documentation required by the form.
05
Review the completed form for accuracy and completeness before submitting it.

Who needs 1061 small group enrollment?

01
Employers who are looking to enroll a small group of individuals in a group health insurance plan.
02
Individuals who are part of a small group that is considering enrolling in a group health insurance plan.
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1061 small group enrollment refers to the process of enrolling in a small group health insurance plan under section 1061 of the Affordable Care Act (ACA).
Employers with less than 50 full-time employees are typically required to file 1061 small group enrollment.
To fill out 1061 small group enrollment, employers must provide information about their company and the employees eligible for the health insurance plan.
The purpose of 1061 small group enrollment is to provide small businesses with the opportunity to offer affordable health insurance coverage to their employees.
Information such as company name, employee names, social security numbers, and dependent information must be reported on 1061 small group enrollment.
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