Our Online Enrollment and Billing tool will help you make changes to your plan. If you are interested in this tool, contact your sales representative.
Employees Eligible for Benefit Coverage
Any employee who is eligible* for health benefit coverage may enroll.
This includes:
- New employees or employees who have not previously enrolled in a plan but who are eligible for coverage;
- Eligible employees who missed previous enrollment deadlines;
- Employees who wish to switch from a previously selected health insurance plan (either through SelectHealth or another carrier); or
- Employees who are currently enrolled in the plan and wish to re-enroll.
*You are responsible to notify employees their eligibility to enroll on the plan. Eligibility guidelines are established by you and reflected in the Group Health Insurance Contract.
Enrollment Form
Your employees must complete the enrollment form to enroll on a plan or to transfer from their current plan. Eligible employees may submit enrollment forms during open enrollment. Enrollment forms will be accepted from new employees within 30 days from their date of eligibility.
Employee Change Form
Employees should use the employee Change Form to make any changes to personal information, including addresses or telephone numbers, name or marital status, additions or deletions of family members, coverage status, or discontinuance of medical benefits. As the employer, you should use the Change Form to notify us of changes in employment status.
COBRA and NetCare Coverage Form
Use this form to enroll on COBRA/NetCare coverage. It is your responsibility as the employer to provide information about options for continuing coverage.