Employer forms

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Enrollment

All you need to determine eligibility and enroll your employees.

View claims forms

OptumRx Direct Mail order form

Medicare Enhance

Medicare Enhance - with Aetna PDP

Member enrollment form for employers

ACH Authorization Form

Administrative Guide (MA, ME, NH)

CDH File Feed Authorization

Disabled Dependent forms & instructions

Group Information Form – Commercial

Health Care Coverage Waiver Forms: MA | ME | NH

Employer Group Vendor Designation Form

Plan Sponsor Certification

Large Group Pre-Renewal Form: NH

MA Small Business Confirmation if WR-1 is not available

My Plan Documents e-mail template (Word doc) for employer use

Premium Deposit Statement

Small Group Pre-Renewal Forms: MA | ME | NH