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.
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Use this form to enrol plan members in group benefits coverage. You'll need the plan member to fill in some sections.