---
title: Excepted Benefits Enrollment Form Template for HR Teams | Paperform
description: Professional excepted benefits enrollment form for dental, vision, disease-specific coverage, hospital indemnity, and Medicare supplement plans. Streamline HR benefits administration with automated workflows.
url: "https://paperform.co/templates/excepted-benefits-enrollment-form"
type: static
generatedAt: "2026-03-28T00:43:50.134Z"
---

[← Back to free form templates](/templates/)    ![Excepted Benefits Enrollment Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/excepted-benefits-enrollment-form.png)
    [Preview](https://_preview.paperform.co/ai-template/excepted-benefits-enrollment-form) [Use this template for free](/create?ai-template=excepted-benefits-enrollment-form)    [Human Resources Forms](/templates/category/hr/)[Financial & Accounting Forms](/templates/category/financial/) [Business](/templates/industry/business/)[Human Resources](/templates/industry/human-resources/) [Small Business Owner](/templates/role/small-business-owner/)[Office Manager](/templates/role/office-manager/)[HR Manager](/templates/role/hr-manager/)[Manager](/templates/role/manager/)[HR Specialist](/templates/role/hr-specialist/)     About this free form template
### Simplify Excepted Benefits Enrollment with Paperform

Managing excepted benefits enrollment shouldn't mean drowning in paperwork or chasing down incomplete forms. This **Excepted Benefits Enrollment Form** template helps HR teams at small and medium businesses streamline the enrollment process for supplemental coverage options including limited-scope dental and vision, specific disease coverage, hospital indemnity insurance, and Medicare supplement plans.

#### Built for HR teams who need clarity and compliance

Whether you're an HR manager coordinating annual enrollment periods or a benefits administrator managing mid-year life events, this form walks employees through their excepted benefits options with clear conditional logic that shows only relevant coverage based on their selections. The structured format ensures you collect all necessary information—from beneficiary details to coverage elections—while keeping the process simple for employees.

#### Keep your benefits workflow moving

Once employees submit their enrollment, you can use **[Stepper](https://stepper.io)** to automatically route submissions to payroll for deduction setup, send confirmation emails with coverage summaries, update your HRIS, and notify insurance carriers—all without manual data entry. Connect this form to your existing HR stack including BambooHR, Workday, or ADP to keep employee records synchronized and enrollment timelines on track.

This template is ideal for HR professionals, benefits coordinators, payroll specialists, and small business owners who want to modernize their benefits administration with a secure, SOC 2 Type II compliant solution that respects employee data and maintains audit trails for compliance reporting.
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