Get 1 Two 3 Master Application - Rwam.com

Filling out the 1 Two 3 Master Application is a crucial step in securing group benefits for your employees. This guide will provide you with clear, step-by-step instructions to complete the form efficiently and accurately.

Follow the steps to complete the application with ease.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. In the 'Applicant Information' section, select the appropriate business type (corporation, partnership, sole proprietorship, or other) and provide the corporate legal name, business address, email, city, province, postal code, and telephone number. Also, include the plan administrator's name and title, business fax number, a description of the nature of business, and the number of years your business has been operating.
3. In the 'Current Group Coverage' section, list any affiliates or subsidiaries and indicate if this application is intended to replace existing group benefits. If yes, provide details about the current benefits, the number of lives currently insured, the name of the insurance carriers, and the planned termination date of existing coverage.
4. Complete the 'Eligibility Requirements' section by confirming that your permanent employees meet the required criteria. Ensure you understand the eligibility conditions related to group size and employee participation.
5. In the 'Effective Date & Waiting Period' section, specify the number of lives to be insured and provide the coverage effective date by entering the year, month, and day. Indicate the waiting period for new employees, if applicable.
6. Fill out the 'Premium Contributions' section by selecting either non-contributory (where the employer pays 100% of premiums) or contributory (where employees pay a portion of premiums), and understand the implications of each choice.
7. Review the mandatory benefits section to confirm coverage amounts for life, AD&D, and other essential health plans, ensuring you understand all provided benefits.
8. Complete the 'Optional Benefits' section if applicable, by selecting any optional coverage desired, such as long-term disability and dental care.
9. Review the 'Premium Summary' to outline the cost per month for mandatory and optional benefits, ensuring all calculations are accurate.
10. In the 'Mandatory Pre-Authorized Debit Plan' section, ensure you attach a void cheque as required and confirm the agreement to monthly premium withdrawals.
11. Complete the final application section, confirming understanding of the terms and conditions by providing your authorized signature along with the printed name and title.

Complete your application online to secure group benefits for your organization today.