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  • Group Health Insurance Census Form

Get Group Health Insurance Census Form

Hemby Insurance & Associates Attn: Ken Hemby P.O. Box 610 / 101 Blythe Drive Indian Trail, NC 28079 (704) 8219278 / (704) 8216876 (fax) Email: KenHemby .

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This document will contain information for each employee of the company including: Name. Date of birth. Date of hire. Compensation and amounts contributed to the 401(k) plan during the year.

Our employees take advantage of federal employee benefits including health insurance, life insurance, long-term care insurance, retirement, and thrift savings plans. At headquarters, we offer onsite banking, a large cafeteria offering a wide array of cuisine, and a convenience shop that carries everything you need!

To prepare for a benefits bid, Sally needs to compile a comprehensive employee census. This includes vital employee demographics, job specifics, compensation details, benefits enrollment data, and dependent information. Equally important are work hours, retirement plan elections, and termination history.

Sometimes gender, age, and company zip code is enough—other times you need exact birthdates for both the employee and eligible dependents as well as a full home address and home phone or cell phone numbers.

An employee census file contains important data that is necessary to create employee accounts - such as their name, date of birth, and insurance plan selection.

The Group Health Census form, which can vary by carrier, asks for essential information about the group to deliver the most accurate quote for the employer. It includes: The name of each employee to be insured. Date of birth for each employee.

The most common items found in a census are employee name, employee identification number, Social Security number, union member, non-union member, date of hire, date of birth, date of termination, part-time employment status, full-time employment status, gross wages, 401(k) eligible wages, bonuses, commissions, ...

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232