2019-20 Employer Data Sheet(Worksheet) - The Local Choice-2026

1. Click ‘Get Form’ to open the 2019-20 Employer Data Sheet in the editor.
2. Begin by entering your group name and selecting whether it is an existing or new group. Ensure you provide the correct Group ID and FEIN.
3. In the Classifications section, check 'yes' or 'no' for each enrollee category to indicate if coverage will be offered. Be mindful of mandatory classifications like Full-time Employees.
4. For Election Rules, select the appropriate waiting period for initial enrollment and qualifying mid-year events based on your group's policies.
5. Enter participation counts for each classification, ensuring you sum totals accurately to determine eligibility for plan choices.
6. Select plans available based on your group size and enter employer contribution amounts. Make sure to note any premium averaging options.
7. Complete the ACA Reporting section, confirming DHRM will file reports on your behalf if applicable.
8. Specify Open Enrollment dates within allowed parameters, ensuring they do not exceed 30 days.
9. Fill in contact information for all relevant administrators, ensuring accuracy for communication purposes.
10. Finally, certify that all information is true and complete before submitting your form by the deadline.

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