Mi-Benefits

Newly Eligible Employee

Monthly Submission Form

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!

Click HERE to download the Mi-Comply Monthly New Hire/Newly Eligible Census Template

Name of Administrator Submitting Newly Eligible Employees

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