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Arizona Small Group Employee Enrollment Change Form

Arizona Small Group Employee Enrollment Change Form 2025

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The document is an Employee Enrollment/Change Form for Arizona Group Business, designed for employees of companies with 2 to 99 eligible employees. It outlines the necessary steps for completing the form, including sections for personal information, coverage selection (medical, dental, life, and disability), and options for waiving coverage. The form emphasizes the importance of accuracy and completeness to avoid processing delays and includes instructions on providing proof of prior coverage if applicable. Additionally, it contains conditions of enrollment and authorizations related to health information.

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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 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 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.

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.

What forms do new employees need to fill out in Arizona?

New Hire Paperwork and Compliance for Arizona W-4. A-4. New Hire Reporting. Local Requirements. Notice of Coverage. I-9. Child Support Certification. Organize Your Onboarding.