GROUP MEDICAL

Revised: December 06, 2017

Producer Guide
ACA ENROLLMENT FORMS
 Kansas Employer Enrollment Form Groups 1-50  Kansas Employee Enrollment Form Groups 1-50
Payment Authorization Participation Certificate for Groups with 10+
Ancillary Only Employer Group App
ALL SAVERS ENROLLMENT FORMS
See Michael Bauman for proper Forms
Both
1099 Employee Common Ownership Form