Summaries & Forms

Important Information

Taylor and Sons Drop Form

Accident

CHUBB Accident Brochure

CHUBB Accident Claim Form

CHUBB Accident Wellness Claim Form

CHUBB Accident Bank Draft Form

CHUBB Accident Beneficiary Form

CHUBB Accident Policy Service Form

Cancer

Prosperity Cancer Brochure

Prosperity Cancer Claim Form

Prosperity Cancer Port and Change Form

Prosperity Cancer Wellness Claim Form

Critical Illness

Reliance Critical Illness Brochure

Reliance Critical Illness Claim Form

Reliance Critical Illness Wellness Claim Form

Reliance Critical Illness Portability Form

Dental

AlwaysCare Dental Brochure – PPO Plan

AlwaysCare Dental Brochure – In-Network Only Plan

AlwaysCare Dental In-Network Only Acknowledgement Form

AlwaysCare Dental Claim Form

AlwaysCare Member Change Form

AlwaysCare Enrollment Form

Disability

One America Disability Brochure

One America Disability Claim Form

One America Direct Deposit Form

One America Lump Sum FAQs

One America Lump Sum Claim Form

One America Disability Highlight Sheet

One America Disability HIPPA Authorization

One America Disability Maternity Claim Form

Flexible Spending Account

Flex Made Easy Brochure

Flex Made Easy Qualified Expenses

Recurring Dependent Care Claim Form

Identity Theft

MetLife Legal Brochure

MetLife Legal Portability Application

Medical Transport

MASA Medical Transport Brochure

MASA Medical Transportation Highlights

Permanent Term Life

Combined Life Brochure

Combined Life Beneficiary Form

Combined Life Bank Draft Form

Combined Life Claim Form

Combined Life Cancellation Form

Combined Life Consent Form

Combined Life HIPPA Authorization Form

Combined Life Parental Consent Form

Combined Life Request for Service Form

Fidelity Life Brochure

Retirement

Meaningful Notice/Plan Summary 2022

Online SRA Instructions

IPX Platform Login Instructions

Risk Profile Questionnaire

Retirement Plan Overview Flyer

5 Reasons – TRSL and Retirement

Brookstone Investment Solutions Brochure

FIT Select Income Indexed Annuity Brochure

FIT Secure Growth Indexed Annuity Brochure

Vision

AlwaysCare Vision Brochure

AlwaysCare Vision Claim Form

AlwaysCare Member Change Form

AlwaysCare Enrollment Form

Voluntary Term Life

One America Voluntary Life Brochure

One America Voluntary Life Beneficiary Form

©2023 MyBenefitsPortal | All Rights Reserved.

This information, including any summaries or videos, is for the use of our employees. These documents and videos contain only a partial description of the benefits, limitations, exclusions and other provisions of these plans mentioned. It is not a policy. It is a general overview only. It does not provide all the details of this coverage, including benefits, exclusions and policy limitations. In the event there are discrepancies between these documents and videos, the terms and conditions of the policy will govern.