Special Requirements for Oregon Groups of 2-5 Employees

Special Requirements for Oregon Groups of 2-5 Employees

Regence BlueCross BlueShield of Oregon groups of 2-4 employees require:
Most recently filed Oregon Form 132 for a business with an employer - employee relationship. Copy of the most recent filed Federal Form 1040C for a husband-wife operation. Partnership Agreement or most recent Federal Form1065 for a partnership
LifeWise Health Plan of Oregon groups of 2-5 employees require:
Form 132 Oregon State Wage & Tax Form. Business Employment Verification Statement by a CPA or CMA. Download now
PacificSource groups of 2-3 employees (including sole-proprietors) require:
Most recent State Unemployment Tax Act (SUTA) filing including Form 132 for employees. Partnership Agreement or a Federal Form 1065, if a partnership.
ODS Health Plans groups of 2-3 employees require:
Form 132 Oregon State Wage & Tax Form. Copy of the most recent filed Federal Form 1040.
Kaiser Permanente Northwest groups of 5 or less employees require:
Form 132 Oregon State Wage & Tax Form.(if wage and tax form not available, contact us) Signed census
Health Net of Oregon groups of 5 enrollees or fewer require:
Form 132 Oregon State Wage & Tax Form. Legal ownership documentation(e.g., business license,articles of incorporation, partnership agreement, etc.) for owners not listed on the wage statement Employer Group Size Verification Form

2000 West Harvard Ave. Suite 100, Roseburg, OR 97471 - 1-888-957-5001

Monday through Thursday 8:00am to 5:00pm Friday 8:00 to 12:00

For information regarding this web site, contact webmaster

This website, all contents, data, images, code and design are copyrighted.