medical Benefits 

Alinea is researching medical insurance coverage to offer to our employees. All staff working an average of 30+ hours a week are eligible to participate in the medical benefit program. Eligible employees may also purchase coverage for their dependents including legally married spouse (same or opposite-sex) and children (naturally born, adopted, and/or stepchildren up to age 26). 

In order for Alinea to receive the accurate plans and pricing, we need every staff member to fill out the form below. 

 

Census Form

I am interested in receiving Medical Insurance through Alinea.
Please fill out the rest of the form regardless of your interest.
Name *
Name
Date of Birth
Date of Birth
Address
Address
Please enter the full name and DOB for each individual who needs coverage and separate them with a comma (,)