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Enrolling with Paramount

Enrolling with Paramount? If your group has been through the quoting process and has decided to enroll with Paramount, we will need a few forms.

Ohio and Michigan Large Groups:

  • Implementation Page (provided by Paramount)
  • Product Selection Form 
  • Wage and Tax from the most recent quarter - mark each employees status (full time, part time, seasonal, etc.)
  • Applications from all enrolling employees
  • Waivers for employees that aren’t enrolling
  • First  months premium

Ohio Small Group (ACA)  (checklist):

  • Master Application
  • ODJFS (OBES) or Schedule C - mark each employees status (full time, part time, seasonal, etc.)
  • Current carriers bill
  • First  months premium
  • Implementation Page - found in Jet
  • Disclaimers Page - found in Jet
  • Group Pediatric Dental Attestation or Application
  • Superior Vision Application
  • Applications from all enrolling employees
  • Waivers for employees that aren’t enrolling
  • Alliance paperwork, if applicable
  • MEWA Enrollment

 Michigan Small Group (checklist):