15 Ways Employers Can Reduce Health Care Spending That 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the DBA Name and Primary/Physical Address of your Employer Group. Select whether you are a Small or Large Group and specify the Coverage Period, including Requested Effective Date and Coverage End Date.
3. In SECTION 1: GROUP INFORMATION, provide the Legal Name of your Employer Group, Type of Organization, and complete all contact information fields for primary, billing, and HR contacts.
4. Fill in the Eligibility Information section with details about your employees, including total numbers for full-time and part-time employees. Specify waiting periods for new hires to obtain health insurance coverage.
5. In SECTION 2: PLAN SELECTION, choose up to two benefit plans that best suit your group’s needs from the provided options.
6. Review SECTION 3: ACCEPTANCE OF RATES AND PAYMENT INFORMATION. Confirm how you will pay the initial/binder premium payment and future monthly premiums.
7. Complete SECTION 4 by reading through the terms, accepting them, and signing where indicated.
8. Gather all required supporting documentation as outlined in SECTION 5 before submitting your application.
9. Finally, ensure you submit your completed application by following the instructions in SECTION 6 regarding deadlines and submission methods.

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