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Registration Process Stages

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Join the Association

Payment

Accept Adoption Agreement

Determine operator strategy

complete the signup with vendor bridge

For New Operators graduating from Fundamentals, you may join GIOA if you are expected within two (2) months to have at least one (1) common-law employee. New Operators have 90 days from the completion of Fundamentals to join the GIOA Healthplan. For more information on this process and requirements, contact OperatorBenefits@gioa.info.

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The sign up and agreement process takes about 5 minutes and you will be directed to your Adoption Agreement.

"*" indicates required fields

Step 1 of 5

Company

This field is for validation purposes and should be left unchanged.

Do you plan on enrolling in insurance benefits?*

Name*

First Last

Entity Name*

(Ex: ABC Enterprises, LLC.)

Type of Entity*

Current FEIN listed with CFA*

Operator Number*

Address Associated with your FEIN*

Street City State ZIP Code

How Many Restaurants Do You Have?*

Restaurant #1 Number*

Restaurant #1 Address*

Street Address Address Line 2 City State ZIP Code

Restaurant #2 Number

Restaurant #2 Address

Street Address Address Line 2 City State ZIP Code

Restaurant #3 Number

Restaurant #3 Address

Street Address Address Line 2 City State ZIP Code

Restaurant #4 Number

Restaurant #4 Address

Street Address Address Line 2 City State ZIP Code

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Registration Process Stages

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2021 Job Title Change