Find a Form

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

Title	Download	State
Accident Claim Form	Download PDF (382.46 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Accidental Death & Dismemberment Employee Flyer	Download PDF (1.99 MB)	AK, CA, MT, OR, UT, WA, WY
Accidental Death & Dismemberment Employee Flyer - ID	Download PDF (1.99 MB)	ID
Accidental Dismemberment Claim Form	Download PDF (339.79 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Affidavit of Non-State Certified Domestic Partnership	Download PDF (69.45 KB)	OR
Affidavit of Non-State Registered Domestic Partnership	Download PDF (69.06 KB)	WA
Affidavit of Qualified Disabled Dependent	Download PDF (116.01 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Affidavit of Qualifying Domestic Partnership	Download PDF (68.82 KB)	AK, CA, ID, MT, UT, WY
Beneficiary Designation Form	Download PDF (60.78 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Billing FAQ	Download PDF (325.67 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Cancer Only Critical Illness Employee Flyer	Download PDF (2.04 MB)	AK, MT, OR, UT, WA, WY
Cancer Only Critical Illness Employee Flyer - ID	Download PDF (2.04 MB)	ID
Cancer Plus Critical Illness Employee Flyer	Download PDF (2.17 MB)	AK, MT, OR, UT, WA, WY
Cancer Plus Critical Illness Employee Flyer - ID	Download PDF (2.17 MB)	ID
Critical Illness Cancer Care Claim Form	Download PDF (148.39 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Dental Health Article for Employees	Download PDF (91.36 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Dental Overview for Employers 2-299	Download PDF (232.16 KB)	AK, MT, OR, UT, WA, WY
Dental Overview for Employers 300+	Download PDF (189.4 KB)	AK, MT, OR, UT, WA, WY
Dental Overview for ID Employers 2-299	Download PDF (232.99 KB)	ID
Dental Overview for ID Employers 300+	Download PDF (189.99 KB)	ID
Dental Voluntary Group Employee Flyer	Download PDF (2.16 MB)	AK, MT, OR, UT, WA, WY
Dental Waiver Form	Download PDF (77.75 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Dollar-Based Dental for Employees	Download PDF (90.6 KB)	OR, UT, WA
Dollar-Based Dental for Employees - ID	Download PDF (1.76 MB)	ID
Dollar-Based Dental for Employers	Download PDF (89.53 KB)	OR, UT, WA
Dollar-Based Dental for Idaho Employers	Download PDF (89.79 KB)	ID
Employer Admin Center User Guide and FAQ	Download PDF (1.47 MB)	AK, CA, ID, MT, OR, UT, WA, WY
Employer Admin Guide - Traditional	Download PDF (106.17 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Enrollment Change Form with Beneficiary Designation	Download PDF (206.09 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Evidence of Insurability (EOI) with HIPAA Authorization	Download PDF (75.34 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Extended Life Insurance Claim Form	Download PDF (163.23 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Find a Dentist	Download PDF (82.62 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Find a Vision Provider - Group	Download PDF (185.93 KB)	AK, ID, MT, OR, UT, WA, WY
Group Dental Employee Flyer	Download PDF (1.59 MB)	AK, CA, MT, OR, UT, WA, WY
Group Dental Employee Flyer - ID	Download PDF (1.59 MB)	ID
Group Products Overview 10+	Download PDF (760.88 KB)	AK, MT, OR, UT, WA, WY
Group Products Overview 10+ CA	Download PDF (2.3 MB)	CA
Group Products Overview 10+ ID	Download PDF (763.5 KB)	ID
HIPAA Authorization to Disclose Protected Health Information	Download PDF (259.78 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Life Conversion Request for Information Form	Download PDF (228.07 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Life Employee Flyer	Download PDF (2.15 MB)	AK, CA, MT, OR, UT, WA, WY
Life Insurance Claim Form	Download PDF (284.21 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Life Insurance Worksheet	Download PDF (142.3 KB)	AK, CA, MT, OR, UT, WA, WY
Life Insurance Worksheet - Idaho	Download PDF (141.89 KB)	ID
LifeMap Advantages Member Flyer	Download PDF (823.57 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Long Term Disability Claim Form	Download PDF (570.96 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Long Term Disability Employee Flyer	Download PDF (2.09 MB)	AK, CA, MT, OR, UT, WA, WY
Long Term Disability Employee Flyer - ID	Download PDF (2.09 MB)	ID
Notice of Privacy Practices - STM, Vision, Dental	Download PDF (126.25 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Privacy Notice	Download PDF (24.05 KB)	AK, CA, ID, MT, OR, UT, WA, WY
Short Term Disability Claim Form	Download PDF (772.04 KB)	AK, ID, MT, OR, UT, WA, WY
Short Term Disability Overview for Employers	Download PDF (486.03 KB)	AK, MT, OR, UT, WA, WY
Short Term Disability Overview for ID Employers	Download PDF (486.52 KB)	ID
Vision Employee Flyer	Download PDF (1.31 MB)	AK, MT, OR, UT, WA, WY
Vision Employee Flyer - ID	Download PDF (1.31 MB)	ID
Vision Employee Waiver Form	Download PDF (243.78 KB)	AK, ID, MT, OR, UT, WA, WY
Vision Out of Network Reimbursement Form	Download PDF (293.57 KB)	AK, ID, MT, OR, UT, WA, WY
Voluntary Accident Employee Flyer	Download PDF (3.09 MB)	AK, MT, OR, UT, WA, WY
Voluntary Accident Employee Flyer - ID	Download PDF (3.09 MB)	ID
Voluntary Accidental Death & Dismemberment Employee Flyer	Download PDF (1.99 MB)	AK, MT, OR, UT, WA, WY
Voluntary Accidental Death & Dismemberment Employee Flyer - ID	Download PDF (1.99 MB)	ID
Voluntary Group Dental Employee Flyer	Download PDF (1.09 MB)	AK, MT, OR, UT, WA, WY
Voluntary Group Dental Employee Flyer - ID	Download PDF (2.41 MB)	ID
Voluntary Life Employee Flyer	Download PDF (2.16 MB)	AK, MT, OR, UT, WA, WY
Voluntary Life Employee Flyer ID	Download PDF (2.16 MB)	ID
Voluntary Long Term Disability Employee Flyer	Download PDF (260.77 KB)	AK, MT, OR, UT, WA, WY
Voluntary Long Term Disability Employee Flyer - ID	Download PDF (261.1 KB)	ID
Voluntary Short Term Disability Employee Flyer	Download PDF (1.33 MB)	AK, MT, OR, UT, WA, WY
Voluntary Short Term Disability Employee Flyer - ID	Download PDF (1.33 MB)	ID
Wellness Benefit Statement	Download PDF (65.09 KB)	AK, CA, ID, MT, OR, UT, WA, WY

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