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Asuris Broker and Agent Communications

12/18/2006  Updated Employee Enrollment & Change Form is available

The 12/06 version of the Employee Enrollment & Change Form  is now available for your use. Please begin using this new version by Dec. 31, 2006.

Also, we no longer require the group administrator to sign the form. However, please note that the following fields in the Employer Section must be completed: “Group Name,” “Intended Effective Date,” “Date of Hire” and “Hours Worked Per Week.”

If you have questions or need a printed supply of the Employee Enrollment & Change Form, talk with your Asuris Sales contact.

Note: To print a PDF document, you need Adobe® Reader®. Download it now for free.
 

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