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

Title Download State
Agent Standard Commission Schedule - Alaska PDF icon Download Form (950.69 KB) AK
Agent Standard Commission Schedule - MT PDF icon Download Form (953.75 KB) MT
Agent Standard Commission Schedule - OR, ID, UT PDF icon Download Form (958.14 KB) ID, OR, UT
Agent Standard Commission Schedule - WA PDF icon Download Form (955.2 KB) WA
Agent Standard Commission Schedule - WY PDF icon Download Form (951.57 KB) WY
Find a Dentist PDF icon Download Form (82.62 KB) AK, CA, ID, MT, OR, UT, WA, WY
Individual Critical Illness Plus Application - ID PDF icon Download Form (857.59 KB) ID
Individual Critical Illness Plus Application - OR PDF icon Download Form (174.54 KB) OR
Individual Critical Illness Plus Application - WA PDF icon Download Form (1.03 MB) WA
Individual Critical Illness Plus Beneficiary Form PDF icon Download Form (83.93 KB) ID, OR, UT, WA
Individual Critical Illness Plus Enrollment Packet- UT PDF icon Download Form (723.12 KB) UT
Individual Critical Illness Plus Flyer PDF icon Download Form (112.64 KB) OR, UT, WA
Individual Critical Illness Plus Flyer - ID PDF icon Download Form (113.27 KB) ID
Individual Dental Application - ID PDF icon Download Form (136.36 KB) ID
Individual Dental Application - OR PDF icon Download Form (1.13 MB) OR
Individual Dental Application - UT PDF icon Download Form (131.54 KB) UT
Individual Dental Application - WA PDF icon Download Form (1.22 MB) WA
Individual Dental Member Brochure - ID PDF icon Download Form (193.48 KB) ID
Individual Dental Member Brochure - OR PDF icon Download Form (2.2 MB) OR
Individual Dental Member Brochure - UT PDF icon Download Form (193.42 KB) UT
Individual Dental Member Brochure - WA PDF icon Download Form (2.2 MB) WA
Individual Dental Rates 1/01/2019 to 3/31/2019 - ID PDF icon Download Form (127.85 KB) ID
Individual Dental Rates 1/01/2019 to 3/31/2019 - OR PDF icon Download Form (141.44 KB) OR
Individual Dental Rates 1/01/2019 to 3/31/2019 - UT PDF icon Download Form (133.96 KB) UT
Individual Dental Rates 1/01/2019 to 3/31/2019 - WA PDF icon Download Form (128.91 KB) WA
Individual Dental Rates 10/01/2018 to 12/31/2018 - ID PDF icon Download Form (127.67 KB) ID
Individual Dental Rates 10/01/2018 to 12/31/2018 - OR PDF icon Download Form (141.57 KB) OR
Individual Dental Rates 10/01/2018 to 12/31/2018 - UT PDF icon Download Form (132.62 KB) UT
Individual Dental Rates 10/01/2018 to 12/31/2018 - WA PDF icon Download Form (128.68 KB) WA
Individual Short Term Medical Enrollment Packet - ID eff 1/1/2019 PDF icon Download Form (358.33 KB) ID
Individual Short Term Medical Enrollment Packet - ID through 12/31/18 PDF icon Download Form (358.18 KB) ID
Individual Short Term Medical Enrollment Packet - OR eff 1/1/2019 PDF icon Download Form (319.51 KB) OR
Individual Short Term Medical Enrollment Packet - OR through 12/31/18 PDF icon Download Form (322.36 KB) OR
Individual Short Term Medical Enrollment Packet - UT eff 1/1/2019 PDF icon Download Form (412.41 KB) UT
Individual Short Term Medical Enrollment Packet - UT through 12/31/18 PDF icon Download Form (408.46 KB) UT
Individual Short Term Medical Member Flyer PDF icon Download Form (915.92 KB) OR, UT
Individual Short Term Medical Member Flyer - ID PDF icon Download Form (208.81 KB) ID
Individual Short Term Medical Rates - Idaho Eff 1/1/2019 to 3/31/2019 PDF icon Download Form (24.75 KB) ID
Individual Short Term Medical Rates - Idaho Eff 10/1/2018 to 12/31/2018 PDF icon Download Form (87.88 KB) ID
Individual Short Term Medical Rates - Oregon Eff 1/1/2019 to 3/31/2019 PDF icon Download Form (33.72 KB) OR
Individual Short Term Medical Rates - Oregon Eff 10/1/2018 to 12/31/2018 PDF icon Download Form (87.85 KB) OR
Individual Short Term Medical Rates - Utah Eff 1/1/2019 to 3/31/2019 PDF icon Download Form (33.6 KB) UT
Individual Short Term Medical Rates - Utah Eff 10/1/2018 to 12/31/2018 PDF icon Download Form (86.59 KB) UT
Individual Vision Rider Reimbursement Form PDF icon Download Form (33.05 KB) ID, OR, UT
LifeMap Advantages Member Flyer PDF icon Download Form (823.57 KB) AK, CA, ID, MT, OR, UT, WA, WY