Home
Forms Library
Colorado Employee Enrollment change form

Colorado Employee Enrollment change form 2025

Colorado Employee Enrollment change form Preview on Page 1

Show details

4.8 out of 5

53 votes

The document is an Employee Enrollment/Change Request form for health insurance coverage in Colorado, specifically for employers with 51 or more eligible employees. It outlines the necessary steps for employees to enroll, change, or waive their health coverage, including sections for personal information, coverage selection (medical, dental, life), dependent information, and a health questionnaire. The form emphasizes the importance of accuracy and completeness to avoid processing delays and includes instructions on protecting health information confidentiality.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The easiest way to modify Colorado Employee Enrollment change form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting documents with our feature-rich and intuitive PDF editor is simple. Make the steps below to fill out Colorado Employee Enrollment change form online quickly and easily:

Sign in to your account. Sign up with your credentials or create a free account to test the product prior to upgrading the subscription.
Import a document. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Colorado Employee Enrollment change form. Easily add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your paperwork.
Get the Colorado Employee Enrollment change form accomplished. Download your modified document, export it to the cloud, print it from the editor, or share it with other participants via a Shareable link or as an email attachment.

Make the most of DocHub, the most straightforward editor to quickly manage your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What happens if an employee misses open enrollment?

Legally, employers are not required to do anything for employees who have missed the open enrollment deadline. In fact, the terms of your benefits plans may prohibit you from making exceptions for employees who do not make benefits elections within a certain time period, such as before the new plan year begins.

What is an employee form?

New employee forms are documents an onboarding employee completes for a company. Some forms are required by law, such as tax forms, while others may be for a particular company or position. They help verify the new employee understands company policies, compensation payments and benefits.

How long is open enrollment in Colorado?

Open Enrollment (November 1-January 15) is the time when almost all Coloradans can buy private health insurance plans. Open Enrollment is over, but you can still enroll in a health insurance plan if you have a qualifying life change event.

What is an employee enrollment form?

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.

What forms does a new employee need to fill out in Colorado?

In addition to the W-4, Colorado requires its own withholding form for state income tax. This form determines how much state income tax should be withheld from an employees paycheck. Ensure your employee fills out the W-4 and Colorado withholding forms to avoid confusion.

What is a benefits enrollment form?

Benefits enrollment, also known as open enrollment or benefits election, refers to the process through which employees choose and sign up for the employee benefits offered by their employer. These benefits often include health insurance, dental insurance, vision insurance, life insurance, retirement plans, and similar.

Colorado Employee Enrollment change form 2025

Here's how it works