Whether you are making a claim or changing a beneficiary, these are the forms you need for your Benefit Plan. Click on the appropriate link to download the form. Then print it, fill it out and send it in according to the instructions on the form.
If you cannot find the form you need, contact us and we will send you a copy.
| Standard Life Booklet Outlines your life, STD and LTD benefits in greater detail |
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| Benefit
Option Selection Use this form to select either the Regular or MSP Plus benefit plans |
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| Bereavement
Leave Claim Form Application for Wage Compensation |
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| Change
of Life Insurance Beneficiary Update the recipient of your life insurance benefit |
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| Dental,
Optical, and Hearing Aid Claim Form Apply for reimbursement for dental, optical, and hearing aid expenses |
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| Application for EI Sickness Hour Bank Credits Application for Hour Bank Assistance |
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| Employee
Assistance Claim Form Application for Reimbursement |
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| Group
Information Changes Change information on your covered dependents |
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| Jury
Duty Benefit Application for Wage Compensation |
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| Green Shield Claim Form Submit a claim to Green Shield foryour health expenses |
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| Release
and Authorization Form To authorize disclosure of personal information |
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| Travel
Assistance Benefit Application for Reimbursement |
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| Member's Short Term Disability Claim Form and Attending Physician Statement Application for short term disability |
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| Application for WCB
Hour Bank Credits Application for Hour Bank Assistance |
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If you have selected the MSP Plus Option, the forms below will help you manage your membership with the Medical Services Plan.
| MSP
Application for Group Enrollment For those who are enrolling |
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| MSP
Group Change Form Change your covered dependents |
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| MSP
Premium Assistance Form To apply for regular assistance with your MSP premiums |
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