Results Insurance
Results Insurance
  • 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
  • More
    • 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
  • Sign In
  • Create Account
  • Bookings
  • My Account

  • Signed in as:

  • filler@godaddy.com

  • Bookings
  • My Account

  • Sign out

Signed in as:

filler@godaddy.com

  • 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

Account

  • Bookings
  • My Account

  • Sign out

  • Sign In
  • Bookings
  • My Account

Aflac Forms

Click on a file to download.

Accident Wellness (pdf)Download
Accident (Physician Statement) (pdf)Download
Cancer Wellness (pdf)Download

Blue Cross Blue Shield

Click on a file to download.

Employee Application (pdf)Download
Employee Application (Spanish) (pdf)Download
BPA Amendment (2024) (pdf)Download
Common Ownership (pdf)Download
EGI Form (pdf)Download
Supplemental Verification Form (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

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
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

Copyright © 2025 Results Insurance - All Rights Reserved.

  • Ark Valley
  • Consultation
  • Blog

Powered by