Enrolment
Our Group Benefits Enrolment forms are your passport to comprehensive insurance coverage. Let’s make this process smooth and hassle-free.
Timing Matters: Complete and sign your enrolment form within 31 days of becoming eligible for insurance coverage.
Save time with digital self-enrolment.
Easily create enrolment events, add members, track progress, and manage communications—all from your Plan Admin Portal.
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Dependent Student Eligibility The file was published on 5/2024
The employee is applying for the continuation of insurance for a child over the age of 21, who is attending an educational institution.
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Essentials Basic and Enhanced Employee Application The file was published on 5/2024
For Essential Basic and Enhanced groups with an effective date before October 1, 2024. Enroll employees into the Essentials Basic and Enhanced plan. Should be completed and signed by the employee no later than 31 days after the date the employee first becomes eligible for insurance coverage.
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Group Benefits Enrolment – Employee Application The file was published on 5/2024
Enrol employees into the group insurance plan. Use our digital self-enrolment feature for a faster, more streamlined experience. Prefer paper? The form should be completed and signed by the employee no later than 31 days after the date the employee first becomes eligible for insurance coverage. For Choice groups and Essential groups with an effective date on or after October 1, 2024.
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Group Benefits Self-Enrolment - Bulk Upload Help Guide The file was published on 11/2025
This guide explains how to create a batch file to upload data using the specified elements. A batch file is a text-based file that contains structured data and can be used for automated uploads.
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Group Benefits Self-Enrolment - Bulk Upload Template The file was published on 11/2025
This template allows plan administrators to efficiently upload multiple new plan members at once into a self-enrolment event.
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Overage Disabled Dependent Application Form The file was published on 2/2025
The employee is applying for over age disabled dependent for continuation of insurance beyond dependent termination age specified in the policy.