Insurance Coverage Inquiry

Insurance Coverage Inquiry
Open Enrollment for insurance for Bucciferro Family McDonald's employees begins on 11/10/25 and closes 12/10/25 for January 2026 enrollment. If you are interested in finding out information about possible benefits, please complete the information below and you will receive a response in your email within 7 business days. Please click this link to view our benefits. To explore alternative low-cost options for health insurance coverage go to www.healthcare.gov
Iron Arch McDonald's Health Insurance Benefit Notice
Employee Name*

First NameLast Name
By signing, I have reviewed a copy of the insurance benefit notice. I also understand that I am being offered insurance by Iron Arch Management and that it is my responsibility to alert my manager or the Iron Arch Management office of my interest in receiving insurance based on the current policy and fill out the appropriate form(s) within 30 days. I understand that after 1 year of employment and during the annual open enrollment period, I may be required to update my interest in insurance provided by Iron Arch Management. By not alerting the office to my interest in insurance, I understand I will be declining this benefit.*

Clear

General Info
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

MonthDayYear
Legal Gender*

MaleFemale
Your Position*
What area is your restaurant in?*

Madison areaBeloit areaRockford areaHuntley area
Madison restaurant*
Beloit restaurant*
Rockford restuarant*
Huntley restaurant*
Employee Email address*
Date of Hire*

MonthDayYear
What coverage are you looking for? (Select all that apply)

MedicalComprehensive Dental (Basic, restorative, major, and orthodontic care)Preventative Dental (Regular check ups, cleanings, and x-rays)VisionShort Term DisabilityLong Term DisabilitySupplemental or Voluntary
***Supplemental Coverage is available to employee only. What Supplemental/ Voluntary coverage are you looking for?*
Medical Coverage For:*
Dental Coverage For:*
Vision Coverage For:*
Should be Empty:

General Info