iCHRA Enrollment Guide Generator v2

Employer Info

Employer Name *

Plan Year

Base Plan Reference

Flat Dollar Amount Percentage of Premium

Employee Only

EE + Spouse

EE + Child(ren)

Family

Upload carrier PDFs for each benefit. Each uploads as a full page in the exported guide.

Dental

Vision

Life / AD&D

Optional Voluntary Benefits

Accident

Critical Illness

Supplemental

Upload Enrichly contribution schedule. Appears as final addendum page.

Excel File (.xlsx / .xls)

Fill in Employer Name to enable export

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Enter employer name to begin