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Please note: The state field refers to the location where your employer is headquartered.
Title | Download | Online Form | State |
---|---|---|---|
Accident Claim Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Accidental Death & Dismemberment Employee Flyer |
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AK, CA, MT, OR, UT, WA, WY | |
Accidental Death & Dismemberment Employee Flyer - ID |
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ID | |
Accidental Dismemberment Claim Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Affidavit of Non-State Certified Domestic Partnership |
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OR | |
Affidavit of Non-State Registered Domestic Partnership |
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WA | |
Affidavit of Qualified Disabled Dependent |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Affidavit of Qualifying Domestic Partnership |
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AK, CA, ID, MT, UT, WY | |
Assignment of Life Insurance Proceeds Form for Life Claim Benefits |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Authorization for LifeMap to Release Information |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Beneficiary Designation Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Billing FAQ |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Cancer Only Critical Illness Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Cancer Only Critical Illness Employee Flyer - ID |
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ID | |
Cancer Plus Critical Illness Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Cancer Plus Critical Illness Employee Flyer - ID |
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ID | |
Critical Illness Cancer Care Claim Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Dental Health Article for Employees |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Dental Overview for Employers 2-299 |
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AK, MT, OR, UT, WA, WY | |
Dental Overview for Employers 300+ |
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AK, MT, OR, UT, WA, WY | |
Dental Overview for ID Employers 2-299 |
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ID | |
Dental Overview for ID Employers 300+ |
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ID | |
Dental Voluntary Group Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Dental Waiver Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Employer Admin Center User Guide and FAQ |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Employer Admin Guide |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Evidence of Insurability (EOI) Frequently Asked Questions |
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AK, ID, MT, OR, UT, WA, WY | |
Evidence of Insurability (EOI) with HIPAA Authorization |
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Online Form | AK, ID, MT, OR, UT, WA, WY |
Extended Life Insurance Claim Form for Employee |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Extended Life Insurance Claim Form for Spouse |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Find a Dentist |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Find a Vision Provider - Group |
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AK, ID, MT, OR, UT, WA, WY | |
Group Dental Employee Flyer |
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AK, CA, MT, OR, UT, WA, WY | |
Group Dental Employee Flyer - ID |
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ID | |
Group Products Overview 10+ |
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AK, MT, OR, UT, WA, WY | |
Group Products Overview 10+ CA |
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CA | |
Group Products Overview 10+ ID |
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ID | |
HIPAA Authorization to Disclose Protected Health Information |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Life Conversion Request for Information Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Life Employee Flyer |
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AK, CA, MT, OR, UT, WA, WY | |
Life Insurance Claim Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Life Insurance Worksheet |
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AK, CA, MT, OR, UT, WA, WY | |
Life Insurance Worksheet - Idaho |
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ID | |
LifeMap Advantages Member Flyer |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Long Term Disability Claim Form |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Long Term Disability Employee Flyer |
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AK, CA, MT, OR, UT, WA, WY | |
Long Term Disability Employee Flyer - ID |
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ID | |
Notice of Privacy Practices - STM, Vision, Dental |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Privacy Notice |
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AK, CA, ID, MT, OR, UT, WA, WY | |
Short Term Disability Claim Form |
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AK, ID, MT, OR, UT, WA, WY | |
Short Term Disability Claim Form - Employee's Statement | Online Form | AK, ID, MT, OR, UT, WA, WY | |
Short Term Disability Overview for Employers |
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AK, MT, OR, UT, WA, WY | |
Short Term Disability Overview for ID Employers |
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ID | |
Vision Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Vision Employee Flyer - ID |
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ID | |
Vision Employee Waiver Form |
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AK, ID, MT, OR, UT, WA, WY | |
Vision Out of Network Reimbursement Form |
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AK, ID, MT, OR, UT, WA, WY | |
Voluntary Accident Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Voluntary Accident Employee Flyer - ID |
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ID | |
Voluntary Accidental Death & Dismemberment Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Voluntary Accidental Death & Dismemberment Employee Flyer - ID |
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ID | |
Voluntary Group Dental Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Voluntary Group Dental Employee Flyer - ID |
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ID | |
Voluntary Life Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Voluntary Life Employee Flyer ID |
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ID | |
Voluntary Long Term Disability Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Voluntary Long Term Disability Employee Flyer - ID |
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ID | |
Voluntary Short Term Disability Employee Flyer |
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AK, MT, OR, UT, WA, WY | |
Voluntary Short Term Disability Employee Flyer - ID |
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ID | |
Wellness Benefit Statement |
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AK, CA, ID, MT, OR, UT, WA, WY |
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