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.