Follow the steps to successfully complete your Employee Benefits form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Review Part A: General Information. This section provides basic information about the Health Insurance Marketplace and how it relates to employer-based coverage. Familiarize yourself with the terms and conditions to understand your eligibility for subsidized premiums.
3. In Part B: Information About Health Coverage Offered by Your Employer, fill in the employer's name, Employer Identification Number (EIN), address, and phone number. The employer is Steak 'n Shake Operations, Inc., with EIN 35-1604308, located at 107 S. Pennsylvania Street, Suite 400, Indianapolis, Indiana 46204.
4. Specify who to contact about employee health coverage at Steak N Shake. Use the contact information for the Steak 'n Shake Benefits Department: phone number 877-767-2367 and email address benefits@steaknshake.com.
5. Indicate if health plans are offered to employees. Check the relevant boxes that describe which employees are eligible for coverage, including details about dependents covered under the plan.
6. Ensure to account for any potential premium discounts through the Marketplace. Even if the employer's coverage is considered affordable, assess your household income and situations that might qualify you for further assistance.
7. After completing all sections, save your changes, then download, print, or share the form as necessary.

Complete your Steak N Shake Employee Benefits form online today to ensure you have the necessary health insurance coverage.