Submit Enrollments

This form is for employee enrollment only. Any changes in election and/or termination cannot be completed using this form.

Submit Enrollment

Submit Changes or Terminations

This form you can update an employees coverage, add/remove dependents, submit benefit account terminations as well as initiating a COBRA qualifying event.

Submit Terms/Changes

Upload PDFs/Excel Enrollments

If you have completed your enrollment using an excel enrollment and wish to upload the census securely to OCA, please click the upload enrollment button listed below.

Upload Submissions

Looking for Eligibility Integration?

OCA can work with your payroll provider, carrier, or benefit administration system to help capture employee eligibility data or claim files. Our platform is architected to give clients maximum flexibility when it comes to getting data in and out of our platform.

Submit Request