Resources

Policy Owner Services:

Policy Service Request Form

Beneficiary Change Form - Individual

Change of Ownership Form

Billing/Premium Accounting:

Group ACH Form

Individual Electronic Transfer Funds Authorization

Claims:

Direct Deposit Form

Group Accident Outpatient Physician Expense Benefit Claim Form

Group Accident Claim Packet

Death Benefits Claim Form

Death Benefits Claim Form (Spanish)

Wage Protector Disability Claim Packet

Accelerated Benefits Claim Form

Group Admin Portal Assistance

How to Register and Sign in to the Group Administrator Portal