Client Resources

Links

Aetna

Employees/Employers: aetna.com

Anthem Blue Cross

Employees/Employers: anthem.com

Delta Dental

Employees: deltadentalmo.com

Group Health Plan

Employees/Employers: ghp.com

Guardian

Employees: glic.com
Employers: guardiananytime.com

Mercy Health Plan

Employees/Employers: mercyhealthplans.com

Principal

Employees/Employers: principal.com

United Healthcare

Employees: myuhc.com
Employers: employereservices.com

Downloadable Forms

Benefits

Aetna Enrollment/Change Form (2-50 Employees) (410k)
Anthem Enrollment/Change Form (2-50 Employees) (115k)
Anthem Enrollment/Change Form (51+ Employees) (112k)
Anthem Large Group Change Form (73k)
Census Form (19k Excel Document)
United Healthcare New Hire Application/Change Form (2-25 Employees) (185k)
United Healthcare New Hire Application/Change Form (26-50 Employees) (174k)
United Healthcare New Hire Application/Change Form (51-99 Employees) (165k)
Group Health Plan Enrollment/Change Form (2-25 Employees) (160k)
Group Health Plan Enrollment/Change Form (26-50 Employees) (156k)
Group Health Plan Enrollment/Change Form (51-99 Employees) (85k)
Group Health Plan Enrollment/Change Form (100+ Employees) (235k)

Commercial

LOSS REPORTING FORMS

Automobile Loss Notice
Auto Accident Information Form
Auto Accident Witness Card
Property Loss Notice
General Liability Notice of Occurrence/Claim
Illinois Form 45: Employer’s First Report of Injury
Missouri Division of Workers’ Compensation: Report of Injury
Workers Compensation – First Report of Injury of Illness

MISCELLANEOUS REQUEST FORMS

Certificate of Insurance Request Form
Evidence of Property Request Form
Automobile Change Request Form

FORM LETTER TEMPLATES

Permission to Obtain Motor Vehicle Reports
Company Acknowledgement of Obligations Under the Fair Credit Reporting Act
Job Applicant Permission to Obtain Motor Vehicle Report

Some documents require the free download of Adobe Acrobat Reader.
Contact your Producer for forms from other insurance carriers.