Employer Forms

Forms and documents to help you manage your benefits program.

Enrollment Applications:

Iowa

• Employer Group Application [PDF]
• Employee Enrollment Application for Large Groups [PDF]
• Employee Enrollment Application for Small Groups [PDF]

Illinois

• Employer Group Application [PDF]
• Employee Enrollment Application for Large Groups [PDF]
• Employee Enrollment Application for Small Groups [PDF]

Wisconsin

• Employer Group Application [PDF]
• Employee Enrollment Application for Large and Small Groups [PDF]

Other Forms:

• COBRA General Notice [PDF]
• Employer Compliance Checklist [PDF]