Employer documents & forms

Commonly used forms

Cancel form for employees or dependents

COBRA Forms and information

Electronic funds transfer form

Employer portal access request form

Employer portal access request form — Small group

Group plan enrollment/waiver form — 2026

Small group change form

Administer your company’s health benefits with these forms and benefit administration guides.

2026

2026 Small group business application

2026 Enrollment/waiver form — English

2026 Enrollment/waiver form — Spanish

2025

2025 Small group business application

2025 Enrollment/waiver form — English

2025 Enrollment/waiver form — Spanish

General

Access plan documents such as benefit summaries, benefit booklets and SBCs

Authorization for disclosure of health information — Online form

Authorization for disclosure of health information — English

Authorization for disclosure of health information — Hmong

Authorization for disclosure of health information — Spanish

Cancel form for employees or dependents

Small group change form

HIPAA special enrollment notice

Subscriber claim form

Large group HIPAA special enrollment notice

2026 Enrollment/waiver form — English

2026 Enrollment/waiver form — Spanish

2025 Enrollment/waiver form — English

2025 Enrollment/waiver form — Spanish

Large group cancelation form — English

Large group cancelation form — Spanish

Medicare Part D creditable letter

Medicare Part D non-creditable letter

Authorization for disclosure of health information — Online form

Authorization for disclosure of health information — English

Authorization for disclosure of health information — Hmong

Authorization for disclosure of health information — Spanish

Fully insured plan election form (2026)

Fully insured plan election form (2025)

Self-insured plan election form (2026)

Self-insured plan election form (2025)

Retiree-only group attestation form (2026)

Retiree-only group attestation form (2025)

Grandfathered plan notice

MA HCR filing service

Premium contribution tool (XLS)

Only for fully insured groups, to determine grandfathered status

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Employer reporting solution guide

Explore the latest news, training information and helpful resources to enhance your understanding of our employer reporting solution.

Employer reporting solution guide