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

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