Web-based tools and information to help you manage and administer your company's health insurance plan.
These Web-based tools give you access to secure file transfers and online enrollment with FCHP.
Employer Tools registration
Register to use FCHP's online enrollment and secure file transfer tools.
Employer Tools help
Find answers to your online enrollment and secure file transfers questions.
Small group employer application (pdf, 160 KB)
Large group employer application (pdf, 213 KB)
ACH form (pdf, 48 KB) Updated
Complete and mail this form to us for automatic withdrawal of your premium payments
Member transaction form (pdf, 338 KB)
Use this interactive, printable application to enroll employees or change or end coverage for an employee.
Our managed care consultants help you with enrollment, daily administration, rate information, member service opportunities and product information.
This library of printable and downloadable PDFs covers a variety of health education, wellness and benefits topics.
Personal Wellness Profile kit
Downloadable and printable resources to help you administer a Personal Wellness Profile program plus samples of letters, e-mails and reports.
Quit to Win kit
Printable resources to help you set up a quit smoking program, create a smoke-free property policy, and establish the Non-Tobacco Advantage, a way to reward your employees who are non-smokers.
Walk Across America kit
Printable resources to help you set up a Walk Across America program that’s quick and easy to administer for your company.
Help with Section 125 plans
We'll help you meet your Section 125 plan needs under health care reform. For eligible employers, this service is available at no additional cost.
How we work with employers
Find out how Fallon Community Health Plan will work with you to offer health care that is considered a true value-added benefit by your employees–while still maintaining economy