Employer Group Forms:
- 2015 Employer ACA Reporting Checklist (Less than 50 employees – Fully Insured Plans)
- 2015 Employer ACA Reporting Checklist (Less than 50 employees – Self Insured Plans)
- 2015 Employer ACA Reporting Checklist (50 or more employees – Fully Insured Plans)
- 2015 Employer ACA Reporting Checklist (50 or more employees – Self Insured Plans)
- 2014 Group Census Form (pdf)
- 2014 Group Census Form (xls)
- Anthem Employer Application
- Anthem Employee Application
- Anthem Member Change Form
- Anthem Demographic Change Form
- Optima Employer Application
- Optima Employee PPO Application
- Optima Employee HMO Application
- UHC Employer Application
- UHC Employee Application
Follow Us!