Documents & Forms

Briefing – Division of Workers’ Compensation Amends MPN and Employee Information Regulations

Compliance Kit Order Form

New Hire Pamphlet

Notice of Personal Chiropractor or Personal Acupuncturist

Notice of Potential Eligibility/DWC-1 Claim Form

Personal Physician Request and Acknowledgement Form

Posting Notice

WC Benefits Summary

Workers’ Compensation Update: Important Changes to Predesgnation Regulations Effective 2014

Briefing – Implementation of New MPNs effective 1/1/15

PRIME Advantage MPN – Complete Written Employee Notification

COBRA Administration Manual

HIPAA Resource Guide

Medicare Payer Data Collection Form

Medicare Secondary Payer Requirements

MetLife Healthcare Life/AD&D Admin Guide

MetLife Premium Statement

Out-of-Network Providers Brochure

Prudential Voluntary AD&D