Please note: The state field refers to the location where your employer is headquartered.

Title Download State
Accidental Death & Dismemberment Employee Flyer PDF icon Download Form (1.99 MB) AK, CA, MT, OR, UT, WA, WY
Accidental Death & Dismemberment Employee Flyer - ID PDF icon Download Form (1.99 MB) ID
Agent Standard Commission Schedule - AK PDF icon Download Form (207.7 KB) AK
Agent Standard Commission Schedule - CA PDF icon Download Form (209.44 KB) CA
Agent Standard Commission Schedule - MT PDF icon Download Form (210.57 KB) MT
Agent Standard Commission Schedule - OR, ID, UT PDF icon Download Form (210.24 KB) ID, OR, UT
Agent Standard Commission Schedule - WA PDF icon Download Form (237.51 KB) WA
Agent Standard Commission Schedule - WY PDF icon Download Form (206.99 KB) WY
Billing FAQ PDF icon Download Form (60.86 KB) AK, CA, ID, MT, OR, UT, WA, WY
Dental Health Article for Employees PDF icon Download Form (91.36 KB) AK, CA, ID, MT, OR, UT, WA, WY
Dental Overview for Employers 2-299 PDF icon Download Form (232.16 KB) AK, MT, OR, UT, WA, WY
Dental Overview for ID Employers 2-299 PDF icon Download Form (232.99 KB) ID
Dental Voluntary Group Employee Flyer PDF icon Download Form (2.16 MB) AK, MT, OR, UT, WA, WY
Employer Admin Center User Guide and FAQ PDF icon Download Form (1.47 MB) AK, CA, ID, MT, OR, UT, WA, WY
Find a Dentist PDF icon Download Form (82.62 KB) AK, CA, ID, MT, OR, UT, WA, WY
Find a Vision Provider - Group PDF icon Download Form (185.93 KB) AK, ID, MT, OR, UT, WA, WY
Group Dental Employee Flyer PDF icon Download Form (1.59 MB) AK, CA, MT, OR, UT, WA, WY
Group Dental Employee Flyer - ID PDF icon Download Form (1.59 MB) ID
Group Products Overview Express 2-9 CA PDF icon Download Form (1.16 MB) CA
Initial Premium Invoice PDF icon Download Form (195.62 KB) AK, CA, ID, MT, OR, UT, WA, WY
Life Employee Flyer PDF icon Download Form (2.15 MB) AK, CA, MT, OR, UT, WA, WY
Life Insurance Worksheet PDF icon Download Form (142.3 KB) AK, CA, MT, OR, UT, WA, WY
Life Insurance Worksheet - Idaho PDF icon Download Form (141.89 KB) ID
LifeMap Advantages Member Flyer PDF icon Download Form (823.57 KB) AK, CA, ID, MT, OR, UT, WA, WY
LifeMap Group Producers Incentive Program PDF icon Download Form (458.84 KB) AK, CA, ID, MT, OR, UT, WA, WY
Long Term Disability Employee Flyer PDF icon Download Form (2.09 MB) AK, CA, MT, OR, UT, WA, WY
Long Term Disability Employee Flyer - ID PDF icon Download Form (2.09 MB) ID
Regence Solutions Package 1 Benefit Summary PDF icon Download Form (194.16 KB) ID, OR, UT, WA
Regence Solutions Package 2 Benefit Summary PDF icon Download Form (194.13 KB) ID, OR, UT, WA
Regence Solutions Package 3 Benefit Summary PDF icon Download Form (194.12 KB) ID, OR, UT, WA
Risk Evaluation Form PDF icon Download Form (89.29 KB) AK, CA, ID, MT, OR, UT, WA, WY
Short Term Disability Overview for Employers PDF icon Download Form (486.03 KB) AK, MT, OR, UT, WA, WY
Short Term Disability Overview for ID Employers PDF icon Download Form (486.52 KB) ID
Small Group (10-25 Employees) Basic Life and AD&D Benefit Summary PDF icon Download Form (782.55 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (10-25 Employees) Dental Plan J Benefit Summary PDF icon Download Form (768.55 KB) ID, OR, UT, WA
Small Group (10-25 Employees) Dental Plan K and L Benefit Summary PDF icon Download Form (784.06 KB) ID, OR, UT, WA
Small Group (10-25 Employees) Dental Plan Options PDF icon Download Form (175.15 KB) ID, OR, UT
Small Group (10-25 Employees) LTD Benefit Summary PDF icon Download Form (743.34 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (10-25 Employees) Master Application PDF icon Download Form (204.33 KB) AK, CA, ID, MT, OR, UT, WA, WY
Small Group (10-25 Employees) STD Benefit Summary PDF icon Download Form (757.67 KB) AK, ID, MT, OR, UT, WY
Small Group (10-25 Employees) Voluntary Life and AD&D Benefit Summary PDF icon Download Form (759.76 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (10-25 Employees) Washington Dental Plan Options PDF icon Download Form (177.99 KB) WA
Small Group (2-25 Employees) Implementation Worksheet PDF icon Download Form (1.12 MB) AK, CA, ID, MT, OR, UT, WA, WY
Small Group (2-25 Employees) Service Directory PDF icon Download Form (128.92 KB) AK, CA, ID, MT, OR, UT, WA, WY
Small Group (2-25 Employees) Vision Benefit Summary PDF icon Download Form (800.93 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (2-25 Employees) Washington Dental Plan L with TMJ Benefit Summary PDF icon Download Form (802.39 KB) WA
Small Group (2-9 Employees) Basic Life and AD&D Benefit Summary PDF icon Download Form (811.02 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (2-9 Employees) Dental Plan A Benefit Summary PDF icon Download Form (797.3 KB) ID, OR, UT
Small Group (2-9 Employees) Dental Plan C Benefit Summary PDF icon Download Form (749.16 KB) ID, OR, UT
Small Group (2-9 Employees) Dental Plan Options PDF icon Download Form (179.43 KB) ID, OR, UT
Small Group (2-9 Employees) LTD Benefit Summary PDF icon Download Form (787.68 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (2-9 Employees) Master Application PDF icon Download Form (209.27 KB) AK, CA, ID, MT, OR, UT, WA, WY
Small Group (2-9 Employees) STD Benefit Summary PDF icon Download Form (761.84 KB) AK, ID, MT, OR, UT, WY
Small Group (2-9 Employees) Voluntary Life and AD&D Benefit Summary PDF icon Download Form (759.35 KB) AK, ID, MT, OR, UT, WA, WY
Small Group (2-9 Employees) Washington Dental Plan J Benefit Summary PDF icon Download Form (862.98 KB) WA
Small Group (2-9 Employees) Washington Dental Plan K Benefit Summary PDF icon Download Form (778.98 KB) WA
Small Group (2-9 Employees) Washington Dental Plan L Benefit Summary PDF icon Download Form (802.8 KB) WA
Small Group (2-9 Employees) Washington Dental Plan Options PDF icon Download Form (180.17 KB) WA
Small Group (5-9 Employees) Washington Dental Plan L with Ortho Benefit Summary PDF icon Download Form (885.28 KB) WA
Small Group Basic Life and AD&D Plan Options PDF icon Download Form (169.82 KB) AK, ID, MT, OR, UT, WA, WY
Small Group LTD Plan Options PDF icon Download Form (172.61 KB) AK, ID, MT, OR, UT, WA, WY
Small Group STD Plan Options PDF icon Download Form (169.43 KB) AK, ID, MT, OR, UT, WA, WY
Small Group Vision Plan Options PDF icon Download Form (165.26 KB) AK, ID, MT, OR, UT, WA, WY
Small Group Voluntary Life and AD&D Plan Options PDF icon Download Form (173.33 KB) AK, ID, MT, OR, UT, WA, WY
Vision Employee Flyer PDF icon Download Form (1.31 MB) AK, MT, OR, UT, WA, WY
Vision Employee Flyer - ID PDF icon Download Form (1.31 MB) ID
Voluntary Accidental Death & Dismemberment Employee Flyer PDF icon Download Form (1.99 MB) AK, MT, OR, UT, WA, WY
Voluntary Accidental Death & Dismemberment Employee Flyer - ID PDF icon Download Form (1.99 MB) ID
Voluntary Group Dental Employee Flyer PDF icon Download Form (1.09 MB) AK, MT, OR, UT, WA, WY
Voluntary Group Dental Employee Flyer - ID PDF icon Download Form (2.41 MB) ID
Voluntary Life Employee Flyer PDF icon Download Form (2.16 MB) AK, MT, OR, UT, WA, WY
Voluntary Life Employee Flyer ID PDF icon Download Form (2.16 MB) ID