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 insured11-2019
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 Oct 2019 to Apr 2020 only01-2020
UHC (All Savers)Self-FundedFor All Savers 5-100 effective starting May 202001-2020