Forms and documents for employers

Guides

• Group Admin Guide – details on how your group benefit administrator can manage your plan for your employees including enrollment. Accessible at your Employer Dashboard.
• How to read an EOB – guide to understanding a member’s EOB, accessible via their Member Dashboard
• Sample billing/invoice statement – sample of a monthly billing invoice

Enrollment application & change of information forms

• Medical
• Medical (Spanish)
• Declaration of Domestic Partnership – for qualified plans, you may need to submit this declaration to add someone to your plan.