CHCA Application Process |
Groups as small as one member are acceptable as long as 51% of all full-time employees participate. Participation is verified against your Quarterly Wage & Tax statement. Applications must be received by the 20th of the month to allow time for underwriting before 1st of the coming month requested effective start dates. The application form is in two parts, even if only one person is enrolling. The employer application form is used to identify your group for plan and billing selections, it is required only once for health and/or dental selections. The health or dental employee application forms are limited to personal information and health history. See CHCA benefit summaries for details and rates as well as the application form. |