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Home
Health
Dental
Vision
Supplemental
Medicare
HRIS
Flexible Spending
Disability & Life
Forms

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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