Employee Staff Listing
The employee staff listing form is designed to gather a complete listing of all employees that currently work for the employer enrolling for Insure Oklahoma.
If the small business becomes qualified for Insure Oklahoma, only employees listed on the Employer Staff Listing form will receive a letter with their Personal Identification Number number to apply separately for Insure Oklahoma qualification.
These letters will be sent to the business address and should be distributed to the employees by the employer. Employees not listed on the staff listing but wishing to apply at a later date will have to be added to the staff listing via the employer change form.
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Employers may forward a copy of their insurance carriers’ staff listing in lieu of the Insure Oklahoma employer staff listing provided the information is the same and any owners are noted on the form.
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