Notice
On May 21st, our call center will operate from 8 AM to 11:45 AM and will be closed in the afternoon.
From Friday May 23rd through Friday, August 29, 2025: Customer Service hours will be 8:00 AM – 6:30 PM EST Monday through Thursday and 8:00 AM - 1:00 PM EST on Friday.
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
