Employer · Freja

Sample values loaded for the employer step.

Step 1: Plan Sponsor / Employer

Legal entity

Legal name *

DBA (if any)

EIN Required at submission (rule WRAP-001). May be left blank in-progress.

Phone

Address

Street 1

Street 2

City

State (2-letter)

ZIP

Primary contact

Name

Title

Phone

Workforce

Total employees

Full-time

Part-time

Participating

Special-status attestations

Each of these triggers a separate attorney-review path. Mark accurately.

Religious entity (church-plan election)

Governmental / municipal entity

Collectively bargained employees in plan

Affiliated employers JSON

Optional. Enter a JSON array. Example: [{"legal_name": "Affiliate A", "ein": "12-3456789", "in_controlled_group": true}]. Any affiliate with in_controlled_group not true triggers MEWA review (C-006).

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