The documents below require Adobe Acrobat Reader. You can download it here if you don’t already have it installed.
Health
- Employee Coverage Declination Form
- Employee HSA/HRA Addendum
- Employer HRA Addendum
- Employer Group Health Application/Change Form (1-15 Employees)
- Employer Group Health Application/Change Form (16+ Employees)
- Employee Enrollment/Change Application (1-15 Employees)
- Employee Enrollment/Change Application (16+ Employees)
- Employer HSA Addendum
- Domestic Partner Affidavit
Dental
- MetLink: Online Dental Benefit Administration
- Domestic Partner Declaration
- Employee Enrollment Form
- Employer Dental Application Form
- Employee Change Form
- EFT Request Form (Electronic Payment)
- Request for Participation
Life
- USAble Life Evidence of Insurability
- Enrollment Application and Change Form Addendum
- Life Product Selection Form
- Salary Update Form
Claim Forms
Other
