
Please UPLOAD your completed census of newly eligible employees below on the 1st of each month. Upload must be in XLS or CSV format.
If you need a template of the census form, one can be DOWNLOADED below.
If you need any assistance, please send us an Assistance Request Form (ARF).
Thank you for allowing Mi-Benefits to help keep you compliant with the ACA!

Name of Administrator Submitting Newly Eligible Employees