Forms & documents for plan administrators
All the forms and documents you need to manage your plan and take care of your plan members.
Plan administration
Group Administrator Portal Application
pdf • 93 KB
Complete this form for access to the secure Group Administrator Portal (GAP)
Employee forms
Individual Application for Group Benefits
pdf • 151 KB
New employees should complete this form to enroll in your Group Benefits plan.
Electronic Funds Transfer (EFT) Authorization
pdf • 198 KB
Your employees can use this form to sign up for direct deposit of their claim reimbursements.
Employee Change Form
pdf • 249 KB
Employees should complete this form to notify us of any changes to their information.