In this section you will find the forms and documents you may need to manage your benefits.
Group Benefit Application Forms
- Group Benefit Application
- Information Release Authorization
- Evidence of Insurability Form
- Pre-authorized Debit Agreement
- Benefits Summary
- Application Checklist
Disability Claim Forms
Contact us before completing any disability claim forms.
Life Forms
- Accidental Dismemberment or Specific Loss Claim Form
- Group Life Benefits - Attending Physician's Certificate of Death
- Group Life Claimant Statement
Contact us before completing any life claim forms.
Utility Forms
- LTD Option Change Form
- Application to Terminate or Maintain Insurance Coverage
- Beneficiary/Spousal/Contingent Designation Form
- Smoker/Non-Smoker Change Form
- Coverage Reduction Form