
- Shop Individual Plans
- Explore Group Plans
- Members
- All Members
- Individual Plan Members
- Group Plan Members
Please note: The state field refers to the location where your employer is headquartered.
Title | Download | State |
---|---|---|
Agent Standard Commission Schedule - AK |
![]() |
AK |
Agent Standard Commission Schedule - CA |
![]() |
CA |
Agent Standard Commission Schedule - MT, WY |
![]() |
MT, WY |
Agent Standard Commission Schedule - OR, ID, UT |
![]() |
ID, OR, UT |
Agent Standard Commission Schedule - WA |
![]() |
WA |
Find a Dentist |
![]() |
AK, CA, ID, MT, OR, UT, WA, WY |
Individual Critical Illness and Emergency Treatment Benefit Claim Form |
![]() |
AK, CA, ID, MT, OR, UT, WA, WY |
Individual Critical Illness Plus Application - ID |
![]() |
ID |
Individual Critical Illness Plus Application - OR |
![]() |
OR |
Individual Critical Illness Plus Application - WA |
![]() |
WA |
Individual Critical Illness Plus Beneficiary Form |
![]() |
ID, OR, UT, WA |
Individual Critical Illness Plus Enrollment Packet - UT |
![]() |
UT |
Individual Critical Illness Plus Flyer |
![]() |
OR, UT, WA |
Individual Critical Illness Plus Flyer - ID |
![]() |
ID |
Individual Dental Enrollment Packet - ID |
![]() |
ID |
Individual Dental Enrollment Packet - OR |
![]() |
OR |
Individual Dental Enrollment Packet - UT |
![]() |
UT |
Individual Dental Enrollment Packet - WA |
![]() |
WA |
Individual Dental Member Brochure - ID |
![]() |
ID |
Individual Dental Member Brochure - OR |
![]() |
OR |
Individual Dental Member Brochure - UT |
![]() |
UT |
Individual Dental Member Brochure - WA |
![]() |
WA |
Individual Dental Rates 4/1/2022 to 6/30/2022 - ID |
![]() |
ID |
Individual Dental Rates 4/1/2022 to 6/30/2022 - OR |
![]() |
OR |
Individual Dental Rates 4/1/2022 to 6/30/2022 - UT |
![]() |
UT |
Individual Dental Rates 4/1/2022 to 6/30/2022 - WA |
![]() |
WA |
Individual Dental Rates 7/1/2022 to 9/30/2022 - ID |
![]() |
ID |
Individual Dental Rates 7/1/2022 to 9/30/2022 - OR |
![]() |
OR |
Individual Dental Rates 7/1/2022 to 9/30/2022 - UT |
![]() |
UT |
Individual Dental Rates 7/1/2022 to 9/30/2022 - WA |
![]() |
WA |
Individual Short Term Medical Enrollment Packet - ID |
![]() |
ID |
Individual Short Term Medical Enrollment Packet - OR |
![]() |
OR |
Individual Short Term Medical Enrollment Packet - WA |
![]() |
WA |
Individual Short Term Medical Pharmacy Reimbursement Form |
![]() |
ID, OR, UT, WA |
Individual Short Term Medical Rates 4/1/2022 to 6/30/2022 - ID |
![]() |
ID |
Individual Short Term Medical Rates 4/1/2022 to 6/30/2022 - OR |
![]() |
OR |
Individual Short Term Medical Rates 4/1/2022 to 6/30/2022 - WA |
![]() |
WA |
Individual Vision Rider Reimbursement Form |
![]() |
ID, OR, UT |
LifeMap Advantages Member Flyer |
![]() |
AK, CA, ID, MT, OR, UT, WA, WY |
STM Authorization For Use and Disclosure of Protected Health Information |
![]() |
ID, OR, UT, WA |
© 2019 LifeMap Assurance Company® All Rights Reserved