EM Benefits is pleased to bring you and your clients a complimentary online enrollment process for new case submissions.


FormFire is the nation’s largest, carrier endorsed, online application, data processing and workflow system that includes a unique mouse-to-sign technology.

This includes:

  • Complete Online Group Data Collection (Spanish & English)
  • Full Application Scrubbing and Data Presentation
  • Broker Controlled Data Processing
  • Complete HIPAA Security, Compliance and Indemnification

Contact us for more information

Josef Staiton
Josef Staiton Vice President
(630) 238-2933