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EMPLOYERS GROUP APPLICATION INSTRUCTIONS: Please complete the entire application. Please print using black ink. Section 1 Employer Demographics Type of Application: New Group Change to Existing Group
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How to fill out the 2015 employer's group application and who needs it:

01
Start by gathering all the necessary information, such as company details, employee information, and health benefit plan information. This will include details about your employees, such as their names, dates of birth, and social security numbers.
02
Begin filling out the application form by providing your company's name, address, and contact information. Make sure to include any legal name changes or DBAs if applicable.
03
Specify your employer identification number (EIN) and the type of entity your business is, whether it's a sole proprietorship, partnership, corporation, or non-profit organization.
04
Indicate the type of group health plan you offer, such as a Preferred Provider Organization (PPO) or a Health Maintenance Organization (HMO), and provide details about the coverage.
05
Answer questions related to premiums, deductibles, and employee contributions. This will help determine the cost of the group health insurance plan for both the employer and the employees.
06
Provide information about other benefit plans, if any, that you offer to your employees, such as dental or vision coverage.
07
Submit the completed application form along with any necessary supporting documentation, such as proof of your entity type, copies of current benefit plans, and employee census data.

Who needs the 2015 employer's group application:

01
Employers who wish to offer group health insurance coverage to their employees.
02
Employers who currently have group health insurance coverage but need to renew or make changes to their existing plan.
03
Employers who want to explore different insurance options and compare quotes from multiple carriers.
04
Employers who are starting a new business and want to provide health benefits to their employees right from the beginning.
05
Employers who are looking to update or enhance their current group health insurance plan.
Note: The specific requirements and application process may vary depending on the jurisdiction and insurance carriers. It is always recommended to consult with a qualified insurance professional or contact the relevant insurance provider for accurate information and guidance.
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The 2015 employer's group application is a form used by employers to report information about their group health insurance plans.
Employers offering group health insurance plans are required to file the 2015 employer's group application.
The 2015 employer's group application can be filled out electronically or by mail following the instructions provided by the relevant authority.
The purpose of the 2015 employer's group application is to provide detailed information about the employer's group health insurance plans.
Employers must report information such as the details of the health insurance plans offered, number of employees enrolled, and contribution amounts.
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