• Medical

Medical Claim Form

Authorization to Release Protected Health Information Form

Disabled Child Attending Physicians Statement

Request for Continuation of Coverage for Disabled Child

• Medical Transport

Emergent Plus – Member Services Agreement

• HSA

HSA Information Authorization Form

HSA Beneficiary Change Spousal Consent Form

HSA Distribution Form

HSA Death Distribution Request Form

HSA Transfer Form

HSA Power of Attorney Form

• FSA

Important 2020 Update – Regarding Dependent Care FSA

FSA Plan Document 2019

FSA Limited Plan Document 2019

Medical Necessity Form

FSA Claims Terms and Certification

FSA Claim Sync Terms and Certification

Account Claim

Review Claim Status

Review Denied claims

• Dental

Aetna Dental Booklet

• Vision

Unum Claim Form – Vision

Unum Vision – Policy 2019

Privacy Notice

HIPAA Notice

COBRA Notice

• Basic Life and AD&D

Unum Claim Form – Life

Unum Group Life and AD&D – Policy 2019

Privacy Notice

HIPPA Notice

• Voluntary Life

Voluntary Life and AD&D – Policy 2019

• Universal Life Events

Beneficiary Designation Form

Death Benefit Claim Form

Long Term Care – Home Health Care Claim Form

• Critical Illness

Guardian Critical Illness Claim Form

Guardian Wellness Claim Form

• Cancer

MetLife – Cancer Claim Form

MetLife – Health Screening Benefit Claim Form

MetLife Cancer – Policy 2019

MetLife Cancer – Outline of Coverage 2019

• Accident

MetLife Claim Form – Accident

MetLife – Health Screening Benefit Claim Form

MetLife Accident Policy 2019

MetLife Accident – Outline of Coverage Disclosure

MetLife Group Accident Insurance Regulator Disclosures Disclaimers Privacy Notice

• Hospital Indemnity

Guardian Hospital Indemnity Claim Form

Guardian Wellness Claim Form

Aetna Hospital Indemnity Claim Form

Aetna Hospital Indemnity Policy 2018

• Short-Term Disability

Unum Claim Form – STD

Unum Short Term Disability – Policy 2019

Privacy Notice

HIPAA Notice

• Long-Term Disability

Unum Claim Form – LTD

Unum Long Term Disability – Policy 2019

Privacy Notice

HIPAA Notice

• Other

Legal Notices

Benefits brokered by:

Benefits website by: