Get Master Application (small Group) - Sharp Health Plan

This guide provides step-by-step instructions to help users complete the Master Application for Small Groups with Sharp Health Plan online. By following this guide, users can ensure accurate submissions and a smooth application process.

Follow the steps to successfully complete the application.

1. Click ‘Get Form’ button to access the application form and open it for editing.
2. Begin with the Company Information section. Fill in the Exact Legal Name of the Company, 'Doing Business As' (DBA), and the company's Street Address, City, State, and Zip Code. If there is a different billing address, include it in the provided space.
3. Provide the Type of Business and Number of Years in Business. Specify if the group is subject to the Employee Retirement Income Security Act (ERISA) by selecting 'Yes' or 'No,' and provide reason for exemption if applicable.
4. In the Plan Specifications section, indicate whether the plan has a Class carve-out and provide details if applicable. Select the desired NETWORK Choice from the provided options.
5. Complete the Owner/Corporate Officer Information section, indicating the company's structure. For each officer listed, specify if they are actively engaged in business and eligible for benefits.
6. Describe the Premium Billing Reference and COBRA Billing Reference if applicable. Include details on existing COBRA or Cal-COBRA participants and the required hours for benefit eligibility.
7. Make sure to understand your responsibilities for distributing the Summary of Benefits and Coverage (SBC) to participants. Review the Employer Statement of Understanding and ensure accurate information is provided.

Begin filling out the MASTER APPLICATION (Small Group) - Sharp Health Plan online today to ensure you have the best coverage for your group.