Enrollment Kits

The table below includes links to enrollment kits for select small group carriers. The kits may not include all required paperwork, particularly contingent items. And, some kits may include documents that are not required for a given group. Be aware of the missing documents specific to your group and coordinate your enrollments with your service team.

BCBSSmall GroupFor 2-50 fully insured02-2020
Dental SelectDentalFully insured small group01-2019
EyeMedVisionGroups 10-50009-2016
HumanaSmall GroupFor 2-50 fully insured09-2019
Memorial HermannSmall GroupFor 2-50 ACA fully insured plans11-2019
Memorial HermannSelf-FundedFor 2-50 Hybrid plans10-2019
National GeneralSelf-FundedFor 3-99 lives02-2018
Scott & WhiteSmall GroupFor 2-50 fully insured10-2019
UHCSmall GroupFor 2-50 fully insured03-2019
UHC (All Savers)Self-FundedFor All Savers 5-100 effective June to Sep 2020 only06-2020
UHC (All Savers)Self-FundedFor All Savers 5-100 effective Oct to Dec 2020 only07-2020