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Does your group insurance agent provide you with easy access to the tools and forms you need for your group health insurance plan?  If not, contact us at 314-438-0222.  We would be happy to work with you.







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.  We can help you with medical, dental, life, disability, or voluntary plans.








Have Questions?  Call us at 314-438-0222.





Faxable Census Form




Are you using Section 125 for the portion of premiums that your employees pay?  If not, call us at 314-438-0222.







Are you considering Self-Directed Health Care or just curious about what it is?



Call us at 314-438-0222.




Are you interested in learning more about HSA's or HRA's?  How much will an HSA lower your group health insurance premium?



**Links on this page were current as of 01/17/06**

Below are links to forms to help you administer your group insurance plan.  If you canít find something or find a dead link let us know as some carriers tend to change their pages.   The Adobe Reader 4.0 or higher is required to view many of the carriers documents.

This page is for employers and businesses that are our group insurance clients, in the St. Louis Metro area (MO & IL).  If you are not our client we hope you find the site useful and we would appreciate the opportunity to quote on your group insurance plan.  Contact us via phone at 314-438-0222, online, or use our secure quote request form.

Aetna   Golden Rule   Pacific Life
AFLAC   Guardian   Reliance
Allied National   Hartford Life   Standard Insurance
American Medical Security   Humana   United American
Ameritas   Jefferson Pilot   United Healthcare
BCBS-MO   Kansas City Life   UNUM
Cigna   Mercy Health Plans    
Dental Source   MetLife   Non-Specific Forms
GHP   Mutual of Omaha




Non-Specific Forms- Non-specific forms can be used with all carriers.

The COBRA Alternative can be sent with a COBRA Notification letter.  This may help the person who can't afford the group premium offered with COBRA.

The COBRA Election form is necessary for you to keep in your files, especially if a person has declined COBRA.

The HIPAA Business Associate Agreement is a form that you should have on file regarding any business or person you do business with that may have access to private information on your company or employees.

Are you thinking about going to a high deductible plan or self-insurance part of your benefits?  The Utilization Survey is a great tool to get an idea how much your employees use their benefits while protecting privacy.


Authorization for Release of  PHI    

COBRA Alternatives

COBRA Notification

COBRA Election Form     

HIPAA Business Associate Agreement
  HIPAA Business Associate Agreement WORD

Request a Group Quote

Request a Individual Life Quote

Utilization Survey

Census Form


- In addition to offering quality benefits programs, Aetna provides a host of valuable services and tools for employers.
 Request a quote

  Aetna Forms are dependent on your state and the region that services your account.  Call us for more information.

AFLAC will not allow me to provide you with links to the forms that you need.  I received a call from Phyllis Dent on 8/26/08 at 3:05 pm telling me that I could not help clients get access to the Aflac forms they needed by putting a link on my website that went directly to Aflac.  I have been fighting this with Aflac for several years and am just very tired of them calling and telling me that I can't help out employer groups with this.  Please call my office and we can move your voluntary plans to another company that allows the agents to help their employer clients.
 Request a quote


AFLAC Dental Enrollment Form

AFLAC Group STD Enrollment Form

AFLAC Voluntary GroupTerm Life Enrollment Form


- Allied included information that they feel is important to you, their current and prospective customers. They have also listed links to great customer tips, valuable health news, and PPO network providers.  

  Horizons Dental Enrollment Form
 Request a quote    

 - No online enrollment forms available.  Contact our office for their current forms.

   Reference Materials
 Request a quote    

- Ameritas is one of the nation's leading providers of affordable dental and eye care products and services. They are proud that their line of programs helps thousands of groups and individuals achieve and maintain good dental and eye health..

  Ameritas Forms
 Request a quote    

-  Check on your member's eligibility, obtain forms, contact Customer Service.

  BCBS Blue Plan Login  registration is required for this.
 Request a quote    

- The expertise Cigna has built over one-hundred-plus years of managing risk helps them provide competitive pricing for your insurance programs.

  Cigna Forms
 Request a quote    

Dental Source, This coverage can be bought by individuals in addition to being used as a voluntary benefit or regular benefit.  This is a popular plan that many employers offer as a voluntary plan when they don't meet traditional participation requirements. - Dental Source of MO & KS has been a State approved vendor for dental coverage for 10+ years, and currently services thousands of State of Missouri employees.
Request a quote


Dental Source Enrollment Application

Membership Change Request Form


GHP is one of the group insurance companies that we work with the most.  They are flexible with their plan designs and are easy to work with. - GHP invites Employers to experience why Group Health Plan is a better choice. Take advantage of their vast array of online resources, including health and wellness information. You can also perform a variety of benefit management functions online through their secure tool designed specifically for Employers

  GHP Employer Forms

GHP Release of Information Form
 Request a quote    

- No online forms available yet.  Contact us for their current forms.

 Request a quote    

- When it comes to employee benefits, follow a leader.  Guardian offers a complete array of affordable, high-quality coverages teamed with superior service that customers can truly count on.
Request a quote

  Guardian Forms

- Employer View is a web site exclusively for The Hartford's employers and their staff. The site gives you, the employer, access to the tools and information you need to administer your group benefits, saving you time and enhancing the service you can provide to your employees.


Hartford Life Employer Forms

Hartford Life Docs Now

 Request a quote    

- Now you can update personal information, enroll new employees and much more. As always, you can view eligibility information for your employees, order a replacement ID card or view and print your certificate/summary plan document

  Humana Self Service Center Forms

Humana Enrollment/Change Forms
 Request a quote    

-  Group Employer Applications and Forms

  Jefferson Pilot Employer Forms
 Request a quote    

- No online forms available yet.  Contact us for their current forms..

 Request a quote    

- No online forms available yet.  Contact us for their current forms.

 Request a quote    

- MetLife has created easy-to-use comprehensive sites and portals for anyone involved in the benefits process, from HR managers to brokers to consultants and employees. Itís taking what they do best offline -- and bringing it online.

  MetLife Forms Library

 Request a quote    

- Forms for Life, Health, Dental, Vision, Disability, Administration & Authorization.

  Mutual of Omaha Plan Administration

Mutual of Omaha Forms
 Request a quote    

- Enrollment Forms for Small & Large Group Employers in Missouri.
 Request a quote

  Pacific Life LG-MO Employee Application

Pacific Life SG-MO Employee Application

Pacific Life Change Form for Large Groups

Pacific Life Change Form for Small Groups

Reliance - Log in to see all that Reliance Standard has to offer its Policyholders and Benefit Managers:  On-line forms so you can print or order the insurance forms you need to do your job.

  Reliance Benefit Manager Forms registration required
 Request a quote    

Standard Insurance - The Standard can help employers receive full value from their investment in benefits by delivering services that will attract and retain employees.  They provide services and products for groups of all sizes, including retirement plans, disability insurance, life insurance and dental insurance.

  Standard Insurance Forms
 Request a quote    

United American - No online forms available yet.  Contact us for their current forms.


 Request a quote


United HealthCare (UHC) - You can manage virtually every aspect of your benefits administration online and in real-time, increasing efficiency and saving money. And their online enrollment administration for your employees makes things easier than ever

  United HealthCare eServices
 Request a quote    

UNUM - Unum is pleased to bring you their new Forms & Reference Material Wizard! The Wizard offers easy access to their online forms and reference material - it also streamlines the selection process so you can find what you need fast.

  UNUM Form Wizard
 Request a quote    



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