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    • Home
    • Health
    • Dental
    • Vision
    • Supplemental
    • Medicare
    • HRIS
    • Flexible Spending
    • Disability & Life
    • Forms
    • FORM BUILDER
      • Information Sheets
      • Salary Redirect Agreement
      • Plan Documents
      • Wrap Document
      • Non-Discrimination Test
  • Home
  • Health
  • Dental
  • Vision
  • Supplemental
  • Medicare
  • HRIS
  • Flexible Spending
  • Disability & Life
  • Forms
  • FORM BUILDER

Aflac Forms

Click on a file to download.

Accident Advantage (Spanish) (PDF)Download
Accident Wellness (pdf)Download
Accident (Physician Statement) (pdf)Download
Cancer Premier (Spanish) (pdf)Download
Cancer Wellness (pdf)Download
Short-Term Disability (Spanish) (PDF)Download
Hospital Choice (Spanish) (PDF)Download
Critical Care (Spanish) (PDF)Download

Blue Cross Blue Shield

Click on a file to download.

Employee Application (pdf)Download
Employee Application (Spanish) (pdf)Download
BPA Amendment (2019) (pdf)Download
Insure Oklahoma Income (2019) (pdf)Download

Colonial Life

Accident Claim Form (pdf)Download
Beneficiary Change Form (pdf)Download
Critical Illness Claim Form (pdf)Download
Initial Disability (Claim Form) (pdf)Download
Request for Service Form (pdf)Download
Wellness Claim (pdf)Download

Delta Dental

Click on a file to download.

Employee Application (pdf)Download
Employee Application (Spanish) (pdf)Download
Benefit Summaries (Spanish) (pdf)Download
2019 - Pricing (pdf)Download
2019 - Select (2-99) (pdf)Download

FSA, HSA, DDC & Section 125

Click on a file to download.

Ameriflex (Paper Claim) (pdf)Download
Ameriflex (Request for Service) (pdf)Download
Ameriflex (Online Registration Instructions) (pdf)Download
Ameriflex (How to Use Benny Card) (pdf)Download
Payday Services (Request For Reimbursement) (pdf)Download
Salary Redirection Agreement (Pre-Tax Form) (pdf)Download
Salary Redirection Agreement (With FSA) (pdf)Download
Wage Works (Claim) (pdf)Download
Wage Works (Enrollment Form) (pdf)Download

United Healthcare

Click on a file to download.

Employee Application (pdf)Download
Health4Me App (pdf)Download

VSP

Click on a file to download.

Why Everyone Needs Vision Care (pdf)Download

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