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Kaiser Foundation Health Plan of the Northwest A nonprofit corporation Portland, OregonLarge Group Dental Plan Evidence of Coverage Group Name: 114 Group Number: 90 4 This EOC is effective 110 through
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How to fill out large group traditional plan

How to fill out large group traditional plan
01
Obtain a copy of the traditional plan enrollment form from the provider.
02
Fill out the group information section including the name of the organization, address, and contact details.
03
List all employees who will be covered under the plan, including their full names, dates of birth, and social security numbers.
04
Indicate the type of coverage each employee will have (e.g. individual or family).
05
Provide any additional requested information or documentation, such as proof of eligibility for coverage.
06
Double-check all information for accuracy before submitting the form to the provider.
Who needs large group traditional plan?
01
Large companies or organizations with a significant number of employees who want to provide health insurance coverage for their workforce.
02
Employers looking to offer a comprehensive benefits package to attract and retain top talent.
03
Businesses in industries where traditional group plans are common and expected, such as corporate settings or industries with unionized workforces.
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What is large group traditional plan?
Large group traditional plan is a health insurance plan designed for organizations with a large number of employees, typically 50 or more.
Who is required to file large group traditional plan?
Employers with a large workforce, usually 50 or more employees, are required to file a large group traditional plan.
How to fill out large group traditional plan?
Large group traditional plans are typically filled out by the organization's human resources department or by a designated benefits administrator.
What is the purpose of large group traditional plan?
The purpose of a large group traditional plan is to provide health insurance coverage to a large number of employees within an organization.
What information must be reported on large group traditional plan?
Information such as employee demographics, plan details, coverage options, and contribution amounts must be reported on a large group traditional plan.
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