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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
  

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

- 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.  

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

- 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..

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

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

- 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 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

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

- 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

- 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

- 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

-  Group Employer Applications and Forms

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

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

- 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. It’s taking what they do best offline -- and bringing it online.

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

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

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.

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.

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

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.