Beneficiary Forms & Resources
Beneficiary Form (available online on My Health Plan by visiting the Forms page under Resources & Tools)
Beneficiary Designation Form (PDF version)
Beneficiary's Checklist (Important Reminders for When a Loved One Dies)
Claim Forms
Accident
Death
Death (individual policyholders only)
Long-term Disability
Multi-claim Form (short-term disability, waiver of premium and accelerated death benefit)
Individual and Small Group Accident, Critical Illness and Hospital Indemnity
Large Group Accident and Critical Illness
Wellness Benefit
Group Applications
Life and Disability
COSE
MRACC
TRCC
Miscellaneous