Complete Benefit and Claims Administration          

 

 

Employers, employees, and providers can check the status of claims online.  Please click on the applicable link below to register and/or log on.

 

                    Employer

 

                    Employee

 

                    Provider

 

Employees may use the forms below to enroll in their employer's health insurance or change their election within the allowable time due to a qualifying event (such as marriage, birth of a child, etc.). Please complete and submit the forms below to your employer's Human Resources office. If you have questions, please check your health plan documents or discuss with your HR department.

 

Enrollment Form

Enrollment Change Form