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Employer Application

Enroll by December 15 for a January 1 coverage effective date.

Online Application

Submit the Online Employer Application

Helpful tips for using the online application:

  • Use a recommended browser: Firefox or Google Chrome on a desktop or laptop computer
  • View a how to video for help with completing the application
  • Complete each page within 30 minutes to avoid timing out of the system
  • If a paper copy is desired, print each page as you complete it

MNsure is committed to accessibility and provides reasonable accommodations to qualified individuals with physical or mental disabilities. If you have a problem accessing this application, please submit your specific request for reasonable accommodations to We appreciate your interest in MNsure.

Paper Application

You may submit a paper application by following the steps below:

  1. Complete the application. If you offer more than one medical plan to your employees, you must select a reference plan in the Medical Plan section.
  2. Return the application by secure email to If you need a secure email to which confidential documents can be attached, contact SHOP using our web form.

Important privacy notice: to protect your privacy, remember to delete any copies of these documents if you are using a public or shared computer.

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