KBenefits Insurance Services
Group Health Enrollment

How To Enroll In A Small Group Health Plan

How To Enroll: 
Employers can enroll their employees into a small group health plan on the 1st or 15 of any month.  Small businesses requesting to enroll must provide the enrollment documents and meet enrollment requirements.  Once submitted, carriers take 3-5 business days to review and approve your policy.  Then another 7-10 business days to receive your ID cards by mail.

Enrollment Requirements:

* Group Enrollment Application
* Employer Certification form
* Employee Enrollment Applications
* Waiver forms
* Final Rates - signed
* Binder Check:  Company check - 1st month premium
* AutoPay form- recommended

Additional Forms:

* WR-30 payroll form - (quarterly tax & wage form)

* Owners Tax docs:  either K-1,  Schedule C. or 1120s
   - showing 100% ownership

Enrollment Eligiblity:

Upon enrollment and renewal, carrier's will review your group's eligibility and participation levels.  Find out if your group is eligible for enrollment. Contact us for help.

Examples of Owners Tax Forms:

Schedule K-1
k-1.png
Portable network image format [166.2 KB]
Schedule C
Schedule C 1040.jpg
JPG image [568.0 KB]
1120 Form
1120 form.gif
Graphic interchange format [127.5 KB]

Carrier Applications

Horizon BCBS - Group App
2021 - SG enrollment (ALL).pdf
Adobe Acrobat document [1'022.5 KB]
Horizon BCBS - Enrollment App
22 - EE Enrollment app.pdf
Adobe Acrobat document [2.3 MB]
Horizon BCBS - Autopay Form
AutoPay - Small Group.pdf
Adobe Acrobat document [29.8 KB]

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 specializes in health, dental, vision, life and medicare insurance for employers and individuals in NJ & NY.

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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
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