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Enrollment/Change Request Aetna Life Insurance Company Employer Group Information: (To Be Completed by Employer)Employer Name Full Name of Business or OrganizationControlSuffixEmployer Address (Street,
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01
Obtain the necessary forms from the Oregon Department of Consumer and Business Services or the Vermont Department of Financial Regulation.
02
Fill out the employer information section accurately, including the business name, address, and federal employer identification number.
03
Provide details about the group of employees you are enrolling, including the number of employees and their demographic information.
04
Fill out the plan information section, including the type of coverage being offered and the effective dates.
05
Review the completed form for accuracy and sign where indicated.
06
Submit the form to the appropriate department, along with any required documentation or fees.

Who needs oregon-vermont large group employee?

01
Employers in Oregon or Vermont with large groups of employees who are seeking to provide health insurance benefits for their workers.
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Oregon-Vermont large group employee refers to a group of employees working in large companies or organizations located in the states of Oregon and Vermont.
Employers in Oregon and Vermont with a large group of employees are required to file the Oregon-Vermont large group employee report.
To fill out the Oregon-Vermont large group employee report, employers need to provide detailed information about their employees such as demographic data, employment status, and benefits offered.
The purpose of the Oregon-Vermont large group employee report is to provide the state governments with accurate information about the workforce in large companies in order to regulate employment practices and monitor compliance with state labor laws.
Employers must report information such as employee demographics, job titles, salaries, benefits, hours worked, and employment status on the Oregon-Vermont large group employee report.
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