Please read carefully before completing the 26/27 Group Election form online.

Because there is no option to save the form and return to it later, make sure you are prepared with the following information:

• Tax ID
• Elected official resolution (if applicable; click for a sample resolution for city or town)
• Elections for the following coverages: medical, dental, vision, basic & voluntary life
• Current number of eligible participants (as of today)
• Method to determine eligibility (lookback or month-to-month) for employers with over 50 FTE employees
• Current number of participants enrolled in the plan
• Hours per week required to be eligible for benefits
• New - The city/town's contribution to employee's benefits must be reported as a dollar amount instead of percentage

Group election forms should be completed online this year by Thursday, April 16, 2026. Once your form has been properly submitted, you will receive a confirmation email that will summarize your group elections. If you do not, please email our Enrollment/Eligibility Specialist Nikki Willoughby or call 406-495-7018.

If you have issues with submitting your Group Election form, please contact Nikki.