ONline enrollment

A better way to find a workplace. We’re with you, from a personalized job search to interview prep – and throughout your placement to make sure the position is working for you.

Welcome to FormFire! Please follow the directions below to complete your 2020 Open Enrollment. 

Create Your Account
To get started, visit https://www.formfire.com/interview/NewUser/SignUp

input the employer code below, and click "Sign Up".

F6C2AEE


Please have the following information ready prior to starting:
Information about yourself AND any dependents

  • Date of birth
  • Date of marriage
  • Home address and phone number
  • Height and weight
  • Name and phone number of your primary care physician
  • Your occupation, date of hire, and number of hours worked per week
  • Medical condition names
  • Treatment dates
  • Medications and dosages
  • Any other relevant details

If you have prior or existing medical coverage:

  • Policy holder's name and Social Security Number. If the coverage is current, whether it will expire or continue when the new coverage becomes effective
  • Name, address, and phone number of insurance carrier
  • Policy number
  • Start and end dates of coverage
  • Coverage type (medical, dental, etc.) and who is covered (e.g. employee only, employee and spouse, etc.)
  • Names of covered individuals (e.g. you and your dependents)

Frequently Asked Questions
Will this take long?
This depends on how much data you must enter (dependents, medical conditions, etc.) and whether you are electing benefits. Also, it is helpful to have the information listed above ready before starting. On average, it takes between 10-15 minutes to complete the process for yourself and about 30–45 minutes for a family of four.
Will I be asked medical questions?
Yes, the collection or confirmation of your current medical information is a required part of the application and enrollment process.
What if I have more questions?
Additional help and answers to frequently asked questions are provided throughout the site.

Privacy and Security Resources
Safeguarding the information you provide is our number one priority. Therefore, we have provided the following resources to answer questions concerning privacy and security:

Privacy Policy Statement: https://www.formfire.com/privacy Security Information: https://www.formfire.com/security


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