At CoPower, we’re always working to make the enrollment process smoother and easier. We recently consolidated and updated a whole new set of forms:
- Federal COBRA and Cal-COBRA Status Notification Form
- Group Address Change Form
- Renewal Date Change Request Form
- Group Cancellation Form
- One Time Bank Draft Authorization Form
- Benefit Waiver and Declination Form
- CoPower ONE Open Enrollment Request Form
- Direct Debit Authorization Form
Contact CoPower for enrollment assistance.
Rodney Mattos
CoPower Regional Sales Manager
Email: rmattos@copower.com
Phone: 916.261.9280
Schedule an Appointment with Rodney
or
Jason Diffenauer
CoPower Sales Account Manager
Email: jdiffenauer@copower.com
Phone: 650.931.1731
Schedule a meeting with Jason
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