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• Life Insurance
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Medical

• United Claim Form
• Caremark Mail Order Claim Form
• Caremark Claim Form
• Medicare D Notification - Creditable Coverage
• Medicare D Notification HDP - Non Creditable Coverage

Tobacco

• Non-Tobacco User Affidavit

Dental

• Delta Dental Claim Form

Vision

• EyeMed Vision Claim Form

Life Insurance

• Life Insurance Beneficiary
• Evidence of Insurability (EOI)

Disability

• File STD Claim Form
• Evidence of Insurability (EOI)

Travel Assistance

• Travel Assistance Brochure

401(k)/Retirement

• 401(k) Rollover Contribution Application
• SERP Enrollment Form
• Non-Qualifed Enrollment Form
• QDRO
• Letter of Determination

Flexible Spending Account/HSA

• SHPS Healthcare Spending Claim Form
• SHPS Dependent Care Claim Form
• SHPS Electronic Funds Transfer Form
• SHPS Eligible Expense Guide
• OptumHealth Bank Health Savings Account (HSA) Application

Employee Assistance Programs

• Care24 Flyer
• Unum EAP Brochure