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Small Group Enrollment/Change FormConnectiCare Small Group Administration c/o CIA Service Corp 350 Church Street, Hartford, CT 061031126 Fax: 8602780883Please print clearly, complete in full using

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How to fill out 2020 ct small group

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Download the 2020 CT Small Group application form.

02

Fill in all the required information, including details about your company and employee demographics.

03

Submit the completed form to the relevant authority by the specified deadline.

Who needs 2020 ct small group?

01

Employers who want to provide health insurance coverage for their employees in Connecticut in the year 2020.

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What is ct small group employer?

CT Small Group Employer refers to a business with 1-50 full-time employees that offers health insurance coverage for its employees.

Who is required to file ct small group employer?

Employers in Connecticut with 1-50 full-time employees are required to file CT Small Group Employer.

How to fill out ct small group employer?

To fill out CT Small Group Employer, employers must report information such as employee count, coverage details, and premium payment history.

What is the purpose of ct small group employer?

The purpose of CT Small Group Employer is to ensure that small businesses provide health insurance coverage to their employees and comply with state regulations.

What information must be reported on ct small group employer?

Employers must report employee count, coverage details, premium payment history, and other relevant information on CT Small Group Employer.

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