Beneficiary Forms
Beneficiary Form (available online on My Health Plan by visiting the Forms page under Resources & Tools)
Beneficiary Designation Form (PDF version)
Claim Forms
Coma and Dismemberment
Death
Death (individual policyholders only)
Long-term Disability - temporarily unavailable
Multi-claim Form (short-term disability, waiver of premium and accelerated death benefit)
Indemnity Claim Form (accident, critical illness and hospital benefits)
Group Applications
Life and Disability
COSE
MRACC
TRCC
Miscellaneous