Great Northern Benefits

Great Northern Benefits
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Sole Proprietor/One-Subscriber Group New Business Document Requirements

Group Application
Enrollment Form
Medicare Card
Proof of Chamber/Association Membership
Employee Roster
(if less than 5 persons)
Personal Tax Filing (Federal 1040)
Copy of W2's if income listed on Line 7 of 1040
Business Tax Filing:
    Most recent Federal Tax filing (personal 1040 and respective business), including all relevant schedules, attachments and W2's.
Corporation/Subschapter S Corporation include:
    Schedule 1120 or 1120S (first and second page)
Copy of ONE of the following:
    Federal Tax ID # verification, such as Federal letter, Form #941 or Form #8109 coupons.
    State license
    Certification (such as DBA with embossed seal on front and County Clerk's stamp on back)
    Articles of Incorporation stamped "FILED" by the State of Michigan.
Business less than one year old:
    May submit a Form 941, 1040 ES or Form 8109 in lieu of an annual tax schedule.
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