Sample Express Program Application

Modified on Mon, Jul 6 at 10:46 AM

last updated 7.6.26

Not sure what to expect when you open up an Express Program Application? Take a look at our example application!


Additionally, you can view step-by-step walkthrough of our application below (please note this walkthrough was created before we changed our reimbursement policy for employers with 51-100 employees in April 2026. The most up-to-date version of our application can be found in the PDF attachment at the bottom of this FAQ):


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