Forms

Vision

Cigna [accident, supplemental life insurance, long term disability]

• Accidental Injury Wellness Claim Form
• Accidental Injury: How to Submit a Claim
• Accidental Injury Claim Form
• Beneficiary Designation Form
• Long Term Disability: How to Submit a Claim
• Long Term Disability Claim Options
• Long Term Disability Claim Form

Dependent Affidavits [for dependents on your plan]

• Affidavit of Marriage
• Domestic Partner Packet

Health Savings Account [for High Deductible Plan]

• Salary Reduction Agreement

HIPAA Release

• IBC Authorization for Disclosure of Health Information
• Health Advocate Authorization form

Retirement Plan [for voluntary contributions]

• Salary Reduction Agreement
• Salary Reduction Catch Up