Monday, June 5, 2023 through Friday, September 8, 2023: Customer Service hours will be 8:00 AM - 6:30 PM ET Monday through Thursday and 8:00 AM - 1:00 PM ET 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,  7 pages, 377 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