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                Get Tufts Health Plan Account Census Form 2015-2025
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How to fill out the Tufts Health Plan Account Census Form online
Completing the Tufts Health Plan Account Census Form online is a straightforward process that helps ensure accurate records for all employees and their dependents. This guide provides step-by-step instructions to assist users in filling out the form efficiently.
Follow the steps to complete the census form accurately.
- Press the ‘Get Form’ button to access the form and open it in the editing interface.
- Fill in the Company Name field with the legal name of your organization.
- For each employee, enter their full name in the Employee Name section.
- Provide the Location for each employee, indicating where they primarily work.
- Input the Date of Birth for each employee, ensuring accuracy for eligibility verification.
- Enter the Zip Code of the employee's residence to assist with determining service areas.
- Record the Date of Hire, marking when the employee started their position.
- Indicate the employee's Status, specifying whether they are Full Time, Part Time, or in a waiting period.
- Provide the Standard Industrial Classification (SIC) Code that best reflects your business sector.
- Select the Plan Type from the options provided: individual, subscriber & spouse, subscriber & child, subscriber & children, or family.
- Input the Effective Date of the selected plan to ensure timely coverage.
- If applicable, indicate the start date for the Certificate of Coverage (COC) or COBRA.
- Mark the Waived Insurance field if any employee is opting out, detailing their reason.
- Repeat entries for up to 50 eligible employees by copying the page as needed before finalizing your information.
- Once all entries are complete, you can save changes, download, print, or share the completed form.
Complete your forms online to ensure prompt processing and accurate records.
To send transcripts to Tufts, use the designated mailing address or electronic submission process outlined on their website. It’s advisable to include the Tufts Health Plan Account Census Form with your transcripts to help with identification and processing. Make sure all documents are clearly labeled and organized.
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