Forms
Links to online forms

Dental Enrollment Filing Instructions - Dental 2 Tier Basic Plan 3 Tier Basic Plan 4 Tier Basic Plan 2 Teir Basic Plan High 3 Tier Basic Plan High 4 Tier Basic Plan High Claim Form Benefit and Claims Information and Participating Provider Dentist Notice of Insurance Continuation Form First Ameritas Privacy Policy I.D. Card Nominating Dentist Form Cobra Claim Form Walmart Eye Care Discount

Fusion 100/150 Vision Fusion ID Card Fusion Claim Form

Vision Perfect Enrollment Form Vision Claim

Short Term Disability Filing Instructions - Life and Disability Enrollment Form NYS DBL Claim Form STD Claim Form

Long Term Disability Filing Instructions - Life and Disability Enrollment Form LTD Claim Form Evidence of Insurability Form Aetna EAP Group Census Form

Group Life Insurance Filing Instructions Life and Disability Enrollment Form Accelerated Benefit Form Basic Life/Add and Supplemental Life Claim Form Beneficiary Designation Form Evidence of Insurability Form Life Conversion Form / Accidental Death Life ONLY Conversion Waiver of Premium Claim Form Dismemberment Claim Form Notice of Termination Group Census Form Funeral Planning Services (English) Funeral Planning Services (Spanish)