KBenefits Insurance Services
Group Health Enrollment
Small Group Health Insurance
Enrollment Requirements
Once your are ready to enroll your group into a small business health plan, carriers require the following enrollment documents. Depending on the carrier and the size of your group, additional documentation may be requested in order to determine eligiblity.
Enrollment Requirements:
- Group Enrollment App
- Employer Certification
- Employee Enrollment App(s)
- Waiver Forms
- Final Rates - signed
- Binder Check: Company check for 1st month's premium
- AutoPay - recommended
Forms:
- WR-30 payroll form - (quarterly tax & wage form)
- Owners Tax docs: Either K-1 or Schedule C. showing 100% ownership
Examples of Owners Tax Forms:
Provide one of the following, showing 100% ownership:
Carrier Applications
Contact us for questions, plan options and free enrollment assistance.
Christopher S. Kudryk
chris@kbenefits.com
732-333-1976
KBenefits Insurance Services
Health - Life - Medicare
Christopher S. Kudryk
Insurance Specialist
chris@kbenefits.com
732-333-1976
KBenefits Insurance Services provides insurance solutions for small business owners and individuals in New Jersey, New York, Pennsylvannia & Florida..
Thank you for your referrals!
Referrals are the cornerstone of our business. Let us know if we can be of further assistance to you or someone you know. Glad to be of service.
Print