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Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.
The forms provide information on dental home and current oral health status, and what oral health care services were delivered during the dental visit. These services include diagnostic and preventive services, counseling, restorative and emergency care, and referral to a specialist for care.
This enrollment form allows individuals to apply for group health and dental coverage. Its designed for employees to provide necessary personal information, dependent details, and coverage choices.
The process by which an eligible person becomes a member of an insurance plan.
Use Employee Express to enroll, change, and cancel your FEHB coverage during Open Season and for some qualifying life events. If you do not see your event available in Employee Express, contact your Benefits Specialist for assistance.