Employee Self-Funded Health Plan Enrollment Card

Form Template

The Employee Self-Funded Health Plan Enrollment Card mobile app is the one-and-only app necessary for a health care coverage organization.

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The employer that uses this app will make life much easier for both themselves and their employees due to the app's inclusion of detailed employee information, employee and employer waivers, credit coverage information, medical information, and employee signatures. The Employee Self-Funded Health Plan Enrollment Card app is truly an all-encompassing app and can even be completely customized to suit the individual needs of every organization.

Features
  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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