Employer Enrollment Materials

Your new or newly eligible employees need the most up-to-date information about your benefit plan to make appropriate benefit decisions. Our New Employee Enrollment Packets contain general information about RMHP, specific information about the benefit plan(s) you have selected for your employees, as well as all forms necessary for your employee to enroll or waive themselves and their dependents.

To request enrollment kits, please contact your Account Manager or the RMHP Group Management Team.

Call 8:00 a.m. to 5:00 p.m. Mountain Time at 800-453-2981.  Select Option 1.

Email

Group_Management_Team@rmhp.org

Here are the most common service-related forms for Employers.

All Employer Groups

Uniform Employee Application  English | Español

Small Employer Application  English | Español

Group Change Form English
 
Employee Change Form  English | Español

Employee Enrollment Form - Large Group (101+ Employees)  English | Español

Authorization for Release of Information

Online Disenrollment Form

Pdf Version Disenrollment Form  English | Español

Notice of Qualifying Event Form COBRA/CCOC

Electronic Funds Transfer for Employer Groups

Request for Enrollment of Common Law Spouse

Request for Enrollment of a Disabled Dependent

Newborn Coverage Waiver

VSP Member Enrollment Form

Delta Dental Group Application

Delta Dental Enrollment Form  English | Español