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2021 WA Small Group Employer Application

2021 WA Small Group Employer Application-2025

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4.8 out of 5

90 votes

The document is an employer application for small group health coverage through Kaiser Foundation Health Plan of the Northwest. It outlines the necessary information required from businesses, including legal name, address, employee count, medical coverage details, and eligibility criteria. The application also addresses topics such as workers' compensation, domestic partner coverage, ERISA status, premium contributions, and benefit offerings. It emphasizes that no contract will exist until the application is reviewed and accepted by Kaiser Permanente.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (90 Votes)
2019	4.4 Satisfied (50 Votes)

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