Employee Census

Employee Census

  • Enrollee Type Codes - EE: Employee / SP: Spouse / DM: Domestic Partner / CH: Dependent Child / D-CH: Disabled Dependent Child
    Enrollee TypeFirst NameLast NameBirth DateM/FZip Code 
    Add a new row
  • If you have a file such as a spreadsheet with the above information in it, you can upload it here. Allowed file types: jpg, gif, png, pdf, xls, csv, doc, jpeg, tif, tiff, xml, html, psd, eps, ai, svg. If your file type isn't allowed, please let us know via the contact form and we'll add it for you asap. Thank you!
    Drop files here or
    Accepted file types: jpg, gif, png, pdf, xls, csv, doc, jpeg, tif, tiff, xml, html, psd, eps, ai, svg.