Enrollment Packet Request Form
For your new or newly eligible employees to make appropriate benefit decisions, they need the most up-to-date information about your benefit plan. We've made this easy by putting an order form for New Employee Enrollment Packets on-line.
Our New Employee Enrollment Packets contain general information about RMHP, specific information about the benefit plan(s) you previously selected for your employees, as well as all forms necessary for your new or newly eligible employee to enroll or waive themselves and their dependents.
If a new employee or their eligible dependents have creditable coverage elsewhere, it's important for them to complete a waiver to protect their future enrollment rights in the event of loss of this coverage. Waiver forms are in our New Employee Enrollment Packet.
Please complete all fields in the on-line form below, and we will send your New Employee Enrollment Packets to the address you give us.
Please note - normal delivery time is within 5 business days of your request. If you need more immediate assistance, please contact RMHP at 877-784-9655 or 970-248-5000.
