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) ID, MT, UT, WY
Beneficiary Designation Form Download PDF (60.78 KB) AK, CA, ID, MT, OR, UT, WA, WY
Billing FAQ Download PDF (182.19 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
Conversion Request for Information Form Download PDF (228.07 KB) AK, CA, ID, MT, OR, UT, WA, WY
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 (1.46 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
Employer Contact Sheet - 2-9 Express Download PDF (30.39 KB) AK, CA, ID, MT, OR, UT, WA, WY
Employer Contact Sheet - 2-9 Express Download PDF (30.39 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
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
Group Products Overview Express 2-9 Download PDF (1.37 MB) AK, MT, OR, UT, WY
Group Products Overview Express 2-9 - ID Download PDF (1.37 MB) ID
Group Products Overview Express 2-9 CA Download PDF (1.16 MB) CA
Group Products Overview Express 2-9 WA Download PDF (1.21 MB) WA
HIPAA Authorization to Disclose Protected Health Information Download PDF (60.98 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 Beltone ID Card Download PDF (41.49 KB) AK, CA, ID, MT, OR, UT, WA, WY
LifeMap Advantages Member Flyer Download PDF (823.59 KB), Download PDF (825.01 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 (68.05 KB) AK, CA, ID, MT, OR, UT, WA, WY
Short Term Disability Claim Form Download PDF (1.11 MB) 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) 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