All forms must be printed, completed and signed before submission to the Human Resources Department or to the carrier.
Enrollment/Change Forms
- Benefit Election / Change Form (Medical/Dental/Dependent Life)
- Vision Enrollment/Change Form (Qualifying Events and New Hires)
- Legal Plan Enrollment/Change Form (Qualifying Events and New Hires)
- Supplemental Benefits INTEREST Form for New Hires
Medical – PCP Changes
Flexible Spending
Vision
Group Life and Disability
- Port Request and Instructions – One America
- Life Claim Packet and Day by Day Guide – OneAmerica
- Online EOI Instructions – OneAmerica
- Beneficiary Designation/Change Form – OneAmerica
- Long Term Disability Claim Packet – OneAmerica
- How to file a disabilty claim – OneAmerica
Aflac
- Instructions for Online Filing and Direct Deposit
- AFLAC Cancer Wellness Form
- AFLAC Accident Wellness Form
- AFLAC Hospital Indemnity Wellness Form
- AFLAC Claim Forms
- AFLAC Waiver of Premium when disabled
- AFLAC Cancellation Form
- AFLAC Change: Transfer to Payroll/Direct Billing/Address
- Setup Direct Bill through aflac.com policyholder services.
- Payment Authorization Agreement for manual processing
Cancer Guardian
- Continuation Request – PORT Coverage when leave/retire
Unum Individual Life
- E-Sign Forms Online Library
- Life Service Form – English (Unum)
Pages 1-2 are instructions, so do not print or return to Unum. - Life Service Form – Spanish (Unum)
- UNUM Life Application