Account bcensus formb - Tufts Health Plan 2025

1. Click ‘Get Form’ to open the account bcensus formb in the editor.
2. Begin by entering your Company Name at the top of the form. This identifies the organization for which you are submitting employee information.
3. For each employee, fill in their Employee Name, Location, Date of Birth, and Zip Code. Ensure accuracy as this information is crucial for health plan eligibility.
4. Next, provide the Date of Hire and Status (indicating whether they are Full-Time or Part-Time). This helps determine their coverage options.
5. Enter the SIC Code relevant to your business sector. This code assists in categorizing your company within industry standards.
6. Select the Plan Type from the options provided (e.g., Individual, Family). This indicates what type of coverage each employee will receive.
7. Indicate the Effective Date of coverage and any COC/COBRA start dates if applicable. If an employee has waived insurance, mark that accordingly.
8. If you have more than 20 employees to list, simply copy this page and continue filling out their details as needed.

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