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How to set up a premium only plan 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Client BIS ID at the top of the form. This is essential for identification purposes.
- Fill in the Employer Information section with your company name, telephone number, and address. If you have a new address, check the corresponding box.
- In the Employee Information section, provide your name and Social Security Number. Choose whether you elect to participate in the Premium Only Plan or not by checking the appropriate box.
- Complete the Employee Enrollment Information by entering your enrollment date and first check date. Specify your deduction frequency and calculate your annual premium for health, dental, life benefits, and any other benefits as applicable.
- Review all information for accuracy before signing. Ensure both employee and employer signatures are provided along with dates.
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