Get Standardized Group Profile Form Oregon

Filling out the Standardized Group Profile Form Oregon is an essential step for new and renewing groups seeking to determine their classification as a small employer for health benefit plans. This guide will walk you through the process step by step, making it clear and straightforward.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the Standardized Group Profile Form Oregon online and open it in your editor.
2. Provide the necessary company information in the top section, including the company name, group number (if applicable), and address. Ensure accuracy as this will be used for identification.
3. Next, indicate the type of company, such as LLC, sole proprietor, or corporation, along with the state headquarters of your business.
4. Fill in the contact information for the individual responsible for the form, including their name, title, email address, and phone number.
5. Complete the producer's details, including their name and phone number, ensuring this information is also accurate.
6. Answer the questions regarding employment in Oregon. Start with question 1 about the location of the majority of employees from the previous year. Select 'yes' or 'no' accordingly.
7. In question 2, provide the average number of employees from the preceding calendar year. Use the guidelines provided to navigate to the appropriate follow-up questions.
8. Continue to follow the prompts for questions 3 and 4 as applicable, based on your previous responses regarding current and expected employee counts.
9. In question 5, indicate the number of eligible employees who will be employed when the coverage takes effect, and determine whether your group qualifies as small or large based on your answers.
10. Lastly, certify the information provided by signing and dating the form. Include your name and title to validate the submission.
11. Once all sections are complete, save your changes. You can download, print, or share the filled form as needed for your records.

Complete the Standardized Group Profile Form Oregon online today to ensure your group’s health coverage eligibility.