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.
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