Documents & Forms

APPLE Account Authorization for Direct Deposit

APPLE Beneficiary Designation and Change Form

APPLE Request for Refund of Contribution Form

APPLE Request for Settlement of Account – RSA

APPLE Request Form

APPLE Required Minimum Distribution Request Form

APPLE Rollover Contribution Request Form

Social Security Form SSA-1945

Compliance Kit Order Form

New Hire Pamphlet

Notice of Personal Chiropractor or Personal Acupuncturist

Notice of Potential Eligibility/DWC-1 Claim Form

Notice to Employees

Personal Physician Request and Acknowledgement Form

WC Benefits Summary

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

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

PRIME Advantage MPN – Complete Written Employee Notification

PRIME Plus MPN – Complete Written Employee Notification

Benefit Eligibility Contributions Form

COBRA Administration Manual

Hartford Disability Admin Guide

Hartford Life Administration Guide

Health Plan’s Authorization Form

HIPAA Resource Guide

MES Administrative Guide

MetLife Admin Guide – BenefitBridge Addendum

MetLife Schools Basic Life/AD&D Admin Guide

MetLife Schools Voluntary AD&D Admin Guide

MetLife Schools Voluntary Life Admin Guide

Auto Accident Pamphlet

Claims Reporting After Hours Procedure

Claims Reporting Procedures

HSB Claim Filing Guide

HSB Claim Form

Property Claim Form

Third-Party Liability Claim Form