Get Group Health Questionnaire (ghq) - Amwins

Filling out the Group Health Questionnaire (GHQ) - AmWINS is an essential step in managing your organization's health plan enrollment. This guide provides clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the Group Health Questionnaire online.

1. Press the 'Get Form' button to access the Group Health Questionnaire and open it in the online editor.
2. Begin by entering the date at the top of the form, followed by the proposed effective date for the health plan.
3. Fill in the company and current enrollment information section, including company name, street address, city, state, zip code, total number of employees on payroll, and contact information for the benefits team. Make sure to distinguish between full-time and part-time employees as well as current enrollment in the health care plan.
4. If applicable, indicate whether there are any enrollees who are not paid employees, providing their details in the designated area.
5. Complete the current health carrier information by noting the carrier name and renewal date, as well as whether the plan is self-funded.
6. If your organization is working with a Professional Employer Organization (PEO), provide the relevant name and class details.
7. Proceed to the current participants in COBRA or state continuation. List any individuals in the designated section or check 'NONE' if there are no participants.
8. Continue to document any employees or dependents who are disabled, again marking 'NONE' if not applicable.
9. Move to the rate history section. Enter details for up to three health plans including premium rates for different coverage types (employee only, employee plus spouse, etc.) for the past 12 to 24 months.
10. Next, document the current plan benefit summary information including names, types, deductibles, co-insurance percentages, and copays.
11. Complete the current plan contribution section outlining the levels of company contribution for various coverage options.
12. Address the general illness questions, responding to each query to the best of your knowledge, and provide details as necessary.
13. Conclude the questionnaire by certifying the truthfulness of the information provided and filling in the authorized signature, title, date, and the print names for all required parties.
14. After completing the form, you may save your changes, download, print, or share the questionnaire as needed.

Complete your Group Health Questionnaire online now to streamline your health plan management process.