Employer Forms
**Links on this page were current as of 01/17/06**

Below are links to forms to help you administer your group insurance plan.  If you can’t find something please call or email the office.  If you find a dead link let us know as some carriers tend to change their pages.   The Adobe Reader 4.0 or higher is required to view many of the carriers documents.
 

This site was made for our clients, mainly in the St. Louis Metro area (MO & IL).  If you are not our client we hope you find the site useful and we would appreciate the opportunity to quote on your group or individual health/dental/disability program.  Feel free to contact us via phone at 314-438-0222 or email.


Aetna   Golden Rule   Pacific Life
AFLAC   Guardian   Reliance
Allied National   Hartford Life   Standard Insurance
American Medical Security   Humana   United American
Ameritas   Jefferson Pilot   United Healthcare
BCBS-MO   Kansas City Life   UNUM
Cigna   Mercy Health Plans    
Dental Source   MetLife   Non-Specific Forms
GHP Mutual of Omaha

 

 

Take a short survey about your group insurance and we will send you a free 2006 wall calendar.

- In addition to offering quality benefits programs, Aetna provides a host of valuable services and tools for employers.
 Request a quote

  Aetna Forms are dependent on your state and the region that services your account.  Call us for more information.
   
     

AFLAC offers a variety of administrative services to help Benefit Managers easily manage employer insurance programs and provide employees with flexible benefits plans and tax savings incentives.
 Request a quote

 

AFLAC Dental Enrollment Form

AFLAC Group STD Enrollment Form

AFLAC Voluntary GroupTerm Life Enrollment Form

   
     

- Allied included information that they feel is important to you, their current and prospective customers. They have also listed links to great customer tips, valuable health news, and PPO network providers.  

 
Horizons Dental Enrollment Form
 Request a quote    
   
     

 - No online enrollment forms available yet.  Email our office for their current forms.

   Reference Materials
 Request a quote    
   
     

- Ameritas is one of the nation's leading providers of affordable dental and eye care products and services. They are proud that their line of programs helps thousands of groups and individuals achieve and maintain good dental and eye health..

  Ameritas Forms
 Request a quote    
   
     

-  Check on your member's eligibility, obtain forms, contact Customer Service.

  BCBS Blue Plan Login  registration is required for this.
 Request a quote    
   
     

- The expertise Cigna has built over one-hundred-plus years of managing risk helps them provide competitive pricing for your insurance programs.

  Cigna Forms
 Request a quote    
   
     

- Dental Source of MO & KS has been a State approved vendor for dental coverage for 10+ years, and currently services thousands of State of Missouri employees.
 
Request a quote

 

Dental Source Enrollment Application
  

Membership Change Request Form
    

   
     

- GHP invites Employers to experience why Group Health Plan is a better choice. Take advantage of their vast array of online resources, including health and wellness information. You can also perform a variety of benefit management functions online through their secure tool designed specifically for Employers

  GHP Employer Forms

GHP Release of Information Form

 
 Request a quote    
   
     

- No online forms available yet.  Email our office for their current forms.

   
 Request a quote    
   
     

- When it comes to employee benefits, follow a leader.  Guardian offers a complete array of affordable, high-quality coverages teamed with superior service that customers can truly count on.
 
Request a quote

  Guardian Forms
   
     

- Employer View is a web site exclusively for The Hartford's employers and their staff. The site gives you, the employer, access to the tools and information you need to administer your group benefits, saving you time and enhancing the service you can provide to your employees.

 

Hartford Life Employer Forms

Hartford Life Docs Now

 Request a quote    
   
     

- Now you can update personal information, enroll new employees and much more. As always, you can view eligibility information for your employees, order a replacement ID card or view and print your certificate/summary plan document

  Humana Self Service Center Forms

Humana Enrollment/Change Forms
 Request a quote    
   
     

-  Group Employer Applications and Forms

  Jefferson Pilot Employer Forms
 Request a quote    
   
     

- No online forms available yet.  Email our office for their current forms..

   
 Request a quote    
   
     

- No online forms available yet.  Email our office for their current forms.

   
 Request a quote    
   
     

- MetLife has created easy-to-use comprehensive sites and portals for anyone involved in the benefits process, from HR managers to brokers to consultants and employees. It’s taking what they do best offline -- and bringing it online.

  MetLife Forms Library

MetLink
 Request a quote    
   
     

- Forms for Life, Health, Dental, Vision, Disability, Administration & Authorization.

  Mutual of Omaha Plan Administration

Mutual of Omaha Forms
 Request a quote    
   
     

- Enrollment Forms for Small & Large Group Employers in Missouri.
 Request a quote

  Pacific Life LG-MO Employee Application

Pacific Life SG-MO Employee Application

Pacific Life Change Form for Large Groups

Pacific Life Change Form for Small Groups

 

   

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Reliance - Log in to see all that Reliance Standard has to offer its Policyholders and Benefit Managers:  On-line forms so you can print or order the insurance forms you need to do your job.

  Reliance Benefit Manager Forms registration required
 Request a quote    
   
     

Standard Insurance - The Standard can help employers receive full value from their investment in benefits by delivering services that will attract and retain employees.  They provide services and products for groups of all sizes, including retirement plans, disability insurance, life insurance and dental insurance.

  Standard Insurance Forms
 Request a quote    
   
     

United American - No online forms available yet.  Email our office for their current forms.

   

 Request a quote

   
   
     

United HealthCare (UHC) - You can manage virtually every aspect of your benefits administration online and in real-time, increasing efficiency and saving money. And their online enrollment administration for your employees makes things easier than ever

  United HealthCare eServices
 Request a quote    
   
     

UNUM - Unum is pleased to bring you their new Forms & Reference Material Wizard! The Wizard offers easy access to their online forms and reference material - it also streamlines the selection process so you can find what you need fast.

  UNUM Form Wizard
 Request a quote    
   
     

Non-Specific Forms

Authorization for Release of  PHI    

COBRA Alternatives

COBRA Notification

COBRA Election Form     

HIPAA Business Associate Agreement

Request a Group Quote

Request a Individual Life Quote

Utilization Survey

Census Form

     
 

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