KBenefits Insurance Services
Insurance - Medicare - Retirement

NJ Small Group Health
Carrier Enrollment Requirements


  • Employer Group app and Employer Cert
  • Employee Enrollment Apps
  • Waivers
  • Company check 1st month premium

  •  WR-30 - Quarterly Tax & Wage form
  •  Owners Tax docs - Schedule C, K-1 or 1120
  • Personal 1040 tax form, and W-2 if there's income on line #7 - (some carriers)


Form K-1
Portable network image format [166.2 KB]
Schedule C/1040
Schedule C 1040.jpg
JPG image [568.0 KB]
Form 1120s
1120 form.gif
Graphic interchange format [127.5 KB]
Personal 1040 Indiv income tax
Personal 1040 - indiv income tax form.jp[...]
JPG image [230.7 KB]

Christopher S. Kudryk
Benefits Specialist
Call: 732-333-1976
Fax:  732-444-5971

KBenefits insurance services provide solutions for small business owners and individuals In NJ, NY, PA and FLA.  Contact KBenefits today and see how we can benefit you and your company.

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