CEEM Form Completion Process

This document outlines the step-by-step process for completing the Consolidated Eligibility and Enrollment Management (CEEM) Form. This form is required to grant user access for managing group eligibility within 90 Degree Benefits (90DB).

• CEEM form may be found in Agency Block > Carriers Tab > 90 Degree Benefits > Forms > CEEM Online Access Form.

CEEM Online enrollment access fillable copy.pdf

Purpose of the CEEM Form

• The CEEM form allows 90DB to grant access to specified users for managing eligibility and enrollment for a group.
• Anyone requiring access must be listed on this form.

Step 1. Verify Form Completion

Before submitting, ensure the following fields have been correctly filled out:

• Company Name → Must be listed at the top of the form.
• Group Number → Assigned after implementation; does not need to be filled out at submission.
• User Details:
  • First and Last Name of each user must be listed.
  • If additional space is required, submit another form with the extra users.
• Access Type:
  • Full Access → Allows users to make changes to eligibility and enrollment.
  • Read Access → Users can only generate reports but cannot make changes.
• User Emails → Must be listed accurately. This is how access is granted.
• Enrollment Submission Responsibility:
  • Confirm whether the client or broker will be responsible for submitting enrollment.
• Completed by Requirement: Ensure the form is completed by an authorized administrator for the group before submission. Title is required.

Step 2. Completing the CEEM Form