Employer Resources
Preventive Minimum Essential
Coverage Plan
Use these resources to help educate your employees on their Preventive Minimum Essential Coverage Plan (MEC) benefits or to learn how to administer your plan.
Educational Materials for Employees
Administrative Forms
Authorization Agreement for Monthly Pre-Authorized Payments
COBRA Information
Freedom Plan Disclosure
Employee Change Request
Employee Coverage Waiver - English
Employee Coverage Waiver - Spanish
Employee Self-Funded Health Plan Enrollment Card - English
Employee Self-Funded Health Plan Enrollment Card - Spanish
Website Account Authorization
COBRA Information
Freedom Plan Disclosure
Employee Change Request
Employee Coverage Waiver - English
Employee Coverage Waiver - Spanish
Employee Self-Funded Health Plan Enrollment Card - English
Employee Self-Funded Health Plan Enrollment Card - Spanish
Website Account Authorization
Plan Information
Questions
Call Client Services at 800-825-7531.
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