Get your Group Benefits forms

Below, you’ll find all of our Group Benefits forms organized by product. When selecting the applicable forms for your needs, please ensure you’re downloading all of the necessary forms, noting that some may be for plan members, plan sponsors and treating physicians.

The forms on this page are for administrative and claims purposes, and in most cases, will include requisite instructions and corresponding mailing addresses.

How to use and submit forms

Save the forms to your computer. In some cases, you can fill them in directly before printing. Otherwise, print them out and complete them by hand before mailing to the address indicated on each form.

Extended Health and Dental claim forms

Emergency Out of Country

Prior Authorization Form

Disability claim forms

Early Intervention

Long Term Disabilty

Short Term Disability

Life and AD&D Claim forms

Life Waiver of Premium

Notice of Death

Administration forms

Looking for Critical Illness claims forms?

Group Critical Illness claim forms are illness specific and are not available on our website. Call 1-866-442-3098 and ask to speak with the Group Life Claims department. We will provide you with the appropriate claim forms and answer any questions you may have. If you would like to order more forms, please use the following links: