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Employer Group Information (EGG) Revised August, 2023Indicate N/A in any sections that do not apply to your group. SECTION A: GROUP INFORMATION Employer Name Legal Name of Company: Employer Identification
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How to fill out small group underwriting reference

01
To fill out a small group underwriting reference, follow these steps:
02
Start by gathering all the necessary information about the small group, such as their name, address, and contact details.
03
Provide the group's size and composition, including the number of employees and any dependents.
04
Include details about the group's current insurance coverage, including the carrier, policy number, and expiration date.
05
Disclose any pre-existing health conditions or high-risk factors within the group.
06
Provide information about any claims history, including the number of claims filed and the total amount paid out.
07
Include any additional relevant information or documentation that may be required by the underwriter.
08
Double-check the form for accuracy and completeness before submitting it.
09
Submit the small group underwriting reference to the appropriate insurance provider or underwriting department.

Who needs small group underwriting reference?

01
Small group underwriting reference is typically needed by insurance companies and underwriters who are assessing the risk associated with providing coverage for a particular group.
02
Employers or organizations looking to enroll their employees or members in a group insurance plan may also be required to provide a small group underwriting reference.
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Small group underwriting reference is a guideline or set of practices used to evaluate and assess the risks associated with providing insurance coverage to small groups.
Insurance providers or carriers that offer coverage to small groups are typically required to file small group underwriting references.
To fill out a small group underwriting reference, one generally needs to provide detailed information about the group, including demographics, health status, and any previous insurance coverage.
The purpose of small group underwriting reference is to ensure that insurers assess the risk accurately and fairly when underwriting insurance for small groups.
The information that must be reported generally includes group demographics, health conditions, claims history, and coverage details.
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