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