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Get Dc Gr-68754-dc 2012-2025
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How to fill out the DC GR-68754-DC online
The DC GR-68754-DC is an essential form for employers seeking group coverage for eligible employees in the District of Columbia. This guide provides clear, step-by-step instructions tailored for users of all experience levels, ensuring that you can confidently complete the form online.
Follow the steps to successfully complete your employer application and joinder agreement.
- Use the ‘Get Form’ button to access the DC GR-68754-DC. This action brings the form up in an editable format for you to begin filling out.
- Enter your company's legal name in the designated field. If applicable, include your DBA (Doing Business As) name.
- Provide the full street address of your company, ensuring that a P.O. Box is not included. Fill in the city, state, and ZIP code accurately.
- If the billing address is different from the company address, complete the relevant billing fields—city, state, and ZIP code.
- Input the phone and fax numbers, ensuring the area codes are formatted correctly.
- List the company contact name, title, and date of birth for eBilling setup. Check the box if you prefer to go paperless for eBilling.
- Include the email address of the company contact and any necessary billing and enrollment contacts if they differ from the company contact.
- Fill in the Standard Industrial Classification (SIC) code and provide a brief description of the nature of your business.
- Select the appropriate employer classification and provide your Federal Tax ID number.
- Indicate the date when your business was established and choose the medical coverage selection options based on your group's needs.
- Complete the dental coverage selection, indicating whether you choose a contributory or voluntary plan.
- Proceed to fill out the life, accidental death, dismemberment, and disability coverage selections based on your employee classes.
- Answer the business eligibility questions truthfully and provide the number of employees, including their classifications and eligibility statuses.
- Review all information for accuracy before submitting the form. Once finalized, you can save your changes, download, print, or share the completed document.
Complete your DC GR-68754-DC application online and secure your group coverage today!
Related links form
Yes, you can file a tax extension form online. By using Form FR-127, you can easily submit your extension request through the DC Office of Tax and Revenue's online system. This makes managing your tax obligations more convenient, allowing you to focus on completing your return later. For added support, uslegalforms provides tools to help you manage your filing.
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