Get Ma Tufts Health Plan New Case Submission Checklist 2020-2025

Filling out the MA Tufts Health Plan New Case Submission Checklist online is a structured process designed to help you compile necessary documents for establishing health coverage. This guide will walk you through each step, ensuring that you complete the form accurately and efficiently.

Follow the steps to successfully complete the submission checklist.

1. Click the ‘Get Form’ button to obtain the MA Tufts Health Plan New Case Submission Checklist. This will open the form in an online editing interface.
2. Begin with the small group employer application. Make sure all fields are filled in completely, with particular attention to the Tax ID Number, ensuring it is a nine-digit numeric entry.
3. Complete the member enrollment forms. Each must include a physical residential address; a P.O. Box is not acceptable. Note that all applications must be signed and dated.
4. Provide the most recent WR1/Quarterly Wage Statement, and ensure documentation accurately reflects employee status (full-time, part-time, etc.).
5. Fill out the small business attestation form, if applicable. This can accompany the submission if the WR1 is not necessary.
6. Complete the signed verification of alternative coverage forms, ensuring all data fields are accurately filled.
7. If you are making an initial deposit via ACH, fill in the initial deposit ACH form completely and attach a voided business check or a clear image of the check.
8. For pediatric dental coverage, include the Pediatric Dental Attestation Form as well as the Web Authorization Form to enable online access to your account.
9. Review the entire checklist to confirm that all required forms are completed and signed as necessary.
10. Once you have finalized all entries, save the changes, and consider downloading or printing the document for your records. Share it with necessary parties as needed.

Start filling out your MA Tufts Health Plan New Case Submission Checklist online today to ensure timely setup of your health coverage.