Group coverage forms
Enrol employees online
Online enrolment for your employees may be available online using our member self-serve tool. You can also get access to experience and claims reporting, billing and more.
Download a form
Download the form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.
Use this form to enrol plan members in group benefits coverage. You'll need the plan member to fill in some sections.