All forms must be printed, completed and signed before submission to the Human Resources Department or to the carrier.
Enrollment/Change Forms
- Medical Affidavit Verifying Eligibility Status for Public Benefit(s)
- 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
MetLife
- Paper Statement of Health (Evidence of Insurability)
- Beneficiary Designation/Change Form
- Must be returned to Cobb County: benefitshr@cobbcounty.org
- Life Claims will be initiated by Cobb County through the MetLife Employer Portal
- Once Submitted by Cobb, a Life Claims Kit will be mailed to the beneficiary
- The Life Claims Kit will be returned to MetLife by the Beneficiary
- Sample Life Claim Kit
- Disability Claims will be reported directly to MetLife by the employee
- First, employees must notify your supervisor
- Contact MetLife 1-800-GET-MET8
Monday to Friday, 8AM to 11PM EST
OR - Report your disability on the website
www.metlife.com/mybenefits - Guide to Absence Reporting with MetLife
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
- AFLAC Life Claim Form
- Aflac Life Claim Physician Statement (claim within 2 years of issue)
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