Get Benepac Master Application - Benefits By Design Bbd

Completing the Benepac Master Application for group insurance provided by Benefits By Design is a straightforward process if approached step-by-step. This guide aims to assist users in effectively navigating each section of the form while ensuring clarity and accuracy.

Follow the steps to successfully complete the application online.

1. Click the ‘Get Form’ button to access the application form and open it for editing.
2. Begin by entering the legal name of the employer in the designated field. This should match the name registered with relevant authorities.
3. Fill out the trade name of the employer if applicable. This is the brand name under which the employer operates.
4. Provide the employer's address, including city, province, and postal code. Ensure all details are accurate to avoid any correspondence issues.
5. Enter the administrative contact details, including a phone number and fax number, for any communications regarding the application.
6. Indicate whether you wish to receive newsletters and surveys through email by selecting 'Yes' or 'No'.
7. Describe the nature of the business and the length of time the business has been operating.
8. If there is a sponsoring association, include its name. Specify if all employees are covered by Workplace Compensation Board (WCB) and whether the organization is classified as not-for-profit.
9. Provide the email address and website address for the employer, ensuring that they are valid for future correspondence.
10. Include any subsidiaries or affiliates to be included in the insurance application.
11. Indicate if any employees in Canada are on a work visa or if there are independent contractors to be included in the plan. Specify the requested plan effective date.
12. If applicable, state previous insurance coverage details, including policy numbers, termination dates, and current benefits in force.
13. Provide employee eligibility details, including minimum hours worked per week for eligibility and the total number of employees.
14. Specify the waiting period for eligibility and whether it applies to employees hired before the plan effective date.
15. Indicate whether the plan is contributory or non-contributory by checking the appropriate box.
16. Fill out participation requirements, including the total number of employees required to participate in the plan.
17. Detail premium contributions by indicating what percentage is paid by employees and employers for each type of benefit listed.
18. If there are any disabled employees on leave, provide names and relevant details regarding their return and nature of disability.
19. Review the Employer Participation Agreement and confirm understanding and compliance by providing an authorized signature, name, title, and date.
20. Complete the pre-authorized payment plan by providing necessary company and bank account information. Attach a voided cheque.
21. Once all sections are completed, save changes, and you may choose to download, print, or share the application as necessary.

Start the process to complete your application online today!