Choice Builder
Employer eKit

The Choice Builder Employer eKit provides you access to the various forms and resources, via the links below, to assist you with your group enrollment. Please review the Guidelines section for the pertinent details.

Once the items on the Case Submission Checklist have been completed, please return the completed forms and applications to your broker.

A second email, the Employee eKit, will arrive shortly. When you forward it to your employees they too will have access to resources and enrollment materials.

STEP 1:
Open, print and read the Choice Builder Case Submission Checklist.

STEP 2:
Complete the Employer Application.

• The Application includes all benefit election options. Only complete the sections that pertain to the benefits you wish to offer your employees.
• Please discuss any questions you may have with your broker.

STEP 3:
Review the Case Submission Checklist to confirm you are completing all requirements.

• For example, the most recent DE-9C and a check payable to Choice Builder should be submitted with all applications.

• Case Submission Checklist
• Employer Application
• Case Submission Acknowledgment
• Sample Legal Documents (reference only)
• Owner/Partner Statement
• Employee Application
• Employee COBRA Application
• Inital Payment Form (One-Time ACH)
• Prior Coverage Cancellation Letter

• Group Administrator Manual
• Choice Builder Provider Search
• www.choicebuilder.com
• Plan Benefit Summaries (attached to email)