A benefits open enrollment form is used by employers to sign their employees up to a benefits plan during the benefits open enrollment period. With Jotform’s free online Benefits Open Enrollment Form, employers can enjoy an easy way to get employee information like their benefit choices, dependent info, and e-signatures from any device! Share the form or embed it in your website to get responses on any device.
Feel free to customize this form template to better match your business by adding your logo, including more form fields, or personalizing the design with no coding required. All information is stored securely with a 256-bit SSL connection, but you can also upgrade to HIPAA compliance for added security. Save time by collecting benefits information online with this Benefits Open Enrollment Form.