Notice
Monday, May 25: Our Customer Service center will be closed in observance of Memorial Day.
May 22 - September 4: Our call center hours on Fridays are 8 AM to 1 PM EDT. Monday through Thursday our call center hours are 8 AM to 6:30 PM EDT.
To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).
Small Group Forms for Brokers
Easily access and download all the small group forms and applications.
Small Business 2-50 enrolled employees
Easy employer application (PDF, 8 pages, 2,490 KB)
Download our easy group application for 2-50 business
Simple employee enrollment (PDF, 1 page, 204 KB)
Download our easy group enrollment form for 2-50 business
Enrollment spreadsheet (Excel)
Download our easy group enrollment spreadsheet guide for 2-50 business
