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)
Individual and Small Group Accident, Critical Illness and Hospital Indemnity
Large Group Accident and Critical Illness
Long-term Disability
Multi-claim Form (short-term disability, waiver of premium and accelerated death benefit)
Wellness Benefit

Group Applications

Life and Disability
COSE
MRACC
TRCC

Miscellaneous