Form DS1963 Request for Approval of Sep Group Changes - California

Form DS1963 Request for Approval of Sep Group Changes - California

What Is Form DS1963?

This is a legal form that was released by the California Department of Developmental Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DS1963?A: Form DS1963 is a request for approval of SEP (Special Enrollment Period) group changes in California.

Q: Who needs to fill out Form DS1963?A: Employers or plan sponsors in California who want to make changes to their SEP group enrollment need to fill out Form DS1963.

Q: What kind of changes can be requested using Form DS1963?A: Form DS1963 can be used to request changes such as adding or removing members from the SEP group, changing coverage options, or updating contact information.

Q: Is there a deadline for submitting Form DS1963?A: Yes, there is a deadline for submitting Form DS1963. It should be submitted at least 30 days prior to the proposed effective date of the changes.

Q: Is there a fee for submitting Form DS1963?A: No, there is no fee for submitting Form DS1963.

Q: How long does it take to process Form DS1963?A: The processing time for Form DS1963 can vary, but it is typically within 30 days from the date of submission.

Q: Can I make changes to my SEP group enrollment without submitting Form DS1963?A: No, in California, any changes to SEP group enrollment require the submission of Form DS1963 for approval.

Q: Can I make changes to my individual plan without using Form DS1963?A: No, Form DS1963 is specifically for requesting changes to SEP group enrollment, not for individual plan changes.

ADVERTISEMENT

Form Details:

  • Released on January 1, 2005;
  • The latest edition provided by the California Department of Developmental Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DS1963 by clicking the link below or browse more documents and templates provided by the California Department of Developmental Services.

Download Form DS1963 Request for Approval of Sep Group Changes - California

4.9 of 5 (7 votes)
  • Form DS1963 Request for Approval of Sep Group Changes - California, Page 1
ADVERTISEMENT

Related Documents