Enrollment Instructions

1. Begin with Colours Online Enrollment Form – You will see an explanation of benefits packages below the form to reference when selecting your Medical/Dental Coverage.

2. Make sure to SUBMIT the Form – This online form will be sent directly to Amy Wolsieffer for review. All other forms need to be downloaded, electronically filled out, and emailed to Amy!

3. Fill out the necessary forms below based upon your selections. Medical Insurance = HighMark BlueCross BlueShield. Dental Insurance = Guardian.

Colours 2026-2027 Enrollment Form

Open enrollment is the only time when you can make enrollment changes, drop coverage, or add/delete dependent(s) from your coverage, unless a qualified change in a family status occurs. All elections remain in effect for the duration of the plan year. IMPORTANT: If you're NOT making any changes to your benefits for the new plan year, then you do NOT need to fill out this form. If you are making ANY changes or are new to the plan, please fill out below.

Name(Required)
MM slash DD slash YYYY
I am interested in medical coverage from Highmark.(Required)
If you are signing up for medical insurance, please pick one.
If you are signing up for medical insurance, please pick one.
I am interested in dental coverage from Guardian.(Required)
Please select who will be on your plan if signing up for dental insurance.
I am signing up for Voluntary Life Insurance.(Required)
I am signing up for Short-term Disability Insurance.(Required)
Waiver of Health Insurance Coverage
I acknowledge that Colours is offering me affordable coverage that meets all requirements of the Affordable Care Act. I understand that I have the opportunity to accept or waive the coverage options listed above. If declining these options, I have indicated below the reason(s) for my waiver of coverage:

Electronic Forms for Insurance Enrollment

The Highmark BlueCross BlueShield Enrollment Form & Guardian Life Insurance Enrollment Form MUST be completed. Please follow instructions within these forms to see if you need to fill out the subsequent Spouse Medical Affidavit or EOI form.

About Us

Colours, Inc. has been family-owned since 1986 and proudly serves the automotive, fleet, and industrial paint industry throughout our vast footprint. Built on strong values and a passion for quality, we treat our customers like family, offering top tier products and personalized service.