Marketplace Notice for Not Offering Insurance

The Marketplace Notice for not offering group insurance is to be distributed to new hires within 14 days of their date of hire. The purpose of the notice to provide employees with the knowledge of their rights to the exchange and their option of possibly qualifying for a government subsidy to enroll on­ exchange due to the absence of a group health plan.

FORM – Marketplace Notice of Not Offering Insurance

Marketplace Notice for Offering Insurance

The Marketplace Notice for offering group insurance is to be distributed to new hires within 14 days of their date of hire. The purpose of the notice to provide employees with the knowledge of their rights to the exchange and their option of enrolling in a group sponsored health plan once their waiting or probationary period has been satisfied with their new employer.

FORM – Marketplace Notice of Offering Insurance

COSE Medical Mutual Enrollment-Change Form

For the purposes of enrollment or making changes under a Medical Mutual group health plan purchased thru COSE (council of smaller enterprises), this form is for use with all ACA plans written after January 1, 2014. Please complete in full and submit to your benefits broker at IEN for submission. Be sure to include correct date of hire, signature, and date. For more information on COSE, please visit www.cose.org.

FORM – COSE Medical Mutual Enrollment-Change Form

IEN Health Questionnaire

Although the Affordable Care Act no longer allows for health underwriting based on pre-existing conditions, those midsize to large employers who self-fund continue to pay premiums based on the health of their employees. Our questionnaire is a basic single page set of medical questions which will allow for a detailed risk assessment from most carriers.

FORM – IEN Health Questionnaire

Medical Mutual Enrollment-Change Form

For the purposes of enrollment or making changes under a Medical Mutual group health plan, this form is for use with all ACA plans written after January 1, 2014. Please complete in full and submit to your benefits broker at IEN for submission. Be sure to include correct date of hire, signature, and date.

FORM – Medical Mutual Enrollment-Change Form

Register for the IEN Newsletter