Benefits Admin
Forms
pdf CoPower Contact Sheet
vnd.openxmlformats-officedocument.spreadsheetml.sheet CoPower Landmark Rate Calculator (January 2020 - May 2020) (1).xlsx
vnd.ms-excel.sheet.macroEnabled.12 United Healthcare New Business Enrollment.xlsm
pdf UNUM Beneficiary Designation Form (Spanish)
pdf UNUM Employee Voluntary Life Application
pdf UNUM Member Voluntary Life Application (Spanish)
pdf UNUM Evidence of Insurability Form
pdf UNUM Evidence of Insurability Form (Spanish) 
pdf UNUM Life & AD&D Claim Form 
pdf UNUM Notification of Conversion Form
pdf UNUM Portability Form
pdf UNUM Change Request Form - Voluntary Life
pdf UNUM Life Long Term Disability Claim Form
pdf UNUM Life Short Term Disability Claim Form
pdf VSP Out-of-Network Reimbursement Form
vnd.ms-excel VSP Affiliate Census (Use only for existing VSP groups adding the Affiliate program)
pdf CoPower SUITE MetLife Beneficiary Designation Form
pdf CoPower SUITE MetLife Statement of Health Form
pdf CoPower SUITE MetLife Dental-Life Disabled Dependent Form
pdf CoPower SUITE MetLife Conversion Form
pdf Employee Enrollment/ Change Form - All Plans
pdf Member Termination Form
pdf Employer COBRA Designation Form
pdf Employer AutoPay Authorization Form
pdf Employer Contact/Address Change Form
pdf Employer Change of Renewal Form
pdf Group Cancellation Form
pdf One Time Only Debit Form
pdf Delta Dental PPO Claim Form
pdf Delta Dental DeltaCare Claim Form
pdf Delta Dental HIPPA Authorization
pdf Declaration of Disability Over-Age Dependent Child Form
pdf MetLife Accelerated Benefit Option Form (ABO)
pdf MetLife Beneficiary Designation Form 
pdf Employee Enrollment/Change Form Dental & Vision Plans
pdf Employee Enrollment/Change Form Life Plans 
pdf Participation Certification
pdf UNUM Beneficiary Designation Form
Broker Sales Flyers
Forms
pdf Empower Group Flyer
pdf CoPower Unum LTD Flyer 2020
pdf CoPower VSP Value Plans Flyer 2020
pdf CoPower ONE DeltaCare Flyer 2020
pdf CoPower Pick ONE Flyer 2020
pdf CPE044_CoPower_SELECT_Unum_Grp_Voluntary_Life_flyer_0120.pdf
pdf Delta Dental Dual Coverage Flyer.pdf
pdf Get the Facts Straight - Ortho DCU.pdf
pdf Discount RX Card.pdf
pdf VSP Eyeconic Brochure 2019.pdf
pdf VSP Eyeconic Talking Points 2019.pdf
pdf VSP Plan Comparison Signature vs Choice 2019.pdf
msword MetLife_HIPAA_RequestForm.doc
msword Metlife_DHMO.doc
pdf Delta Dental Cost Estimator Flyer.pdf
pdf Delta Dental PPO - Power of Choice.pdf
pdf CoPower ONE Advantages Flyer.pdf
pdf CoPower Pick ONE Flyer - Region 1 2020
pdf CoPower Pick ONE Flyer - Region 2 2020.pdf
pdf CoPower Product Guide Standalone Vision.pdf
pdf CoPower Vantage Powerful Perks Flyer.pdf
pdf Life Is Hard. Ancillary Doesn_t Have to Be Flyer.pdf
pdf The CoPower Advantage.pdf
pdf The CoPower Portfolio 2020.pdf
vnd.openxmlformats-officedocument.spreadsheetml.sheet CoPower Landmark Rate Calculator (June 2019 - Dec 2019).xlsx
vnd.ms-excel.sheet.macroEnabled.12 CoPower ONE Cost Comparison Sheet 2020 (1).xlsm
vnd.ms-excel.sheet.macroEnabled.12 CoPower ONE Cost Comparison Sheet 012019.xlsm
vnd.ms-excel.sheet.macroEnabled.12 CoPower ONE Employee Contribution Worksheet 2019.xlsm
vnd.ms-excel.sheet.macroEnabled.12 CoPower ONE Employee Contribution Worksheet 2020 (1).xlsm
vnd.openxmlformats-officedocument.spreadsheetml.sheet CoPower UNUM Voluntary Life Premium Census Calculator 2019.xlsx
vnd.openxmlformats-officedocument.spreadsheetml.sheet CoPower UNUM Voluntary Life Premium Census Calculator 2020 (1).xlsx
pdf HR360 Flyer.pdf
pdf Cost Comparison for VSP Choice B $20_$20 Flyer.pdf
pdf Cost Comparison for VSP Choice C $25 Flyer.pdf
pdf Unum Through CoPower.pdf
pdf VSP AutoPay Flyer.pdf
pdf VSP Choice Plan Preferred Provider Affiliate Flyer.pdf
pdf VSP Win-Win Solutions 2020.pdf
pdf VSP_Eyeconic_Flyer_2018.pdf
pdf Unum LTD Healthcare Protect Flyer.pdf
pdf CPS004 Unum Through CoPower 2020.pdf
pdf CPE043_CoPower_SELECT_Unum_Grp_Voluntary_Life_flyer_092014.pdf
pdf Why CoPower And UnitedHealthcare.pdf
pdf CPS091 United Healthcare Savor the Selection Flyer 2020.pdf
pdf CoPower Producer Agreement_0118.pdf
vnd.ms-excel MetLife_eCensusFormat_All_Coverages.xls
Plan Benefit Summaries
Forms
pdf CoPower ONE Summary of Benefits and Rate Guide 2020
pdf CoPower ONE DeltaCare Good Plan Benefits 150 2020.pdf
pdf CoPower ONE DeltaCare Good Plan Benefits 100 2020.pdf
pdf CoPower ONE DeltaCare Good Plan Benefits 50 2020.pdf
pdf CoPower ONE DeltaCare Good Plan Benefits 2020.pdf
pdf CoPower ONE DeltaCare Better Plan Benefits 2020.pdf
pdf CoPower ONE DeltaCare Better Plan Benefits 50 2020.pdf
pdf CoPower ONE DeltaCare Better Plan Benefits 150 2020.pdf
pdf CoPower ONE DeltaCare Voluntary Benefits 2020.pdf
pdf CoPower ONE Voluntary No Ortho Plan Highlights 2020.pdf
pdf CoPower ONE Voluntary Plan Highlights 2020.pdf
pdf Delta Dental Classic PPO Voluntary 1500Max Wait-Period Plan Highlights 2019.pdf
pdf CoPower ONE Good Plan Benefits 100 2020.pdf
pdf CoPower ONE Good Plan Benefits 150 2020.pdf
pdf CoPower ONE Good Plan Benefits 2020.pdf
pdf CoPower ONE Good Plan Benefits 50 2020.pdf
pdf CoPower ONE Better Plan Benefits 100 2020.pdf
pdf CoPower ONE Better Plan Benefits 150 2020.pdf
pdf CoPower ONE Better Plan Benefits 2020.pdf
pdf CoPower ONE Better Plan Benefits 50 2020.pdf
pdf CoPower ONE Better Plus Plan Benefits 100 2020.pdf
pdf CoPower ONE Better Plus Plan Benefits 150 2020.pdf
pdf CoPower ONE Better Plus Plan Benefits 2020.pdf
pdf CoPower ONE Better Plus Plan Benefits 50 2020.pdf
pdf CoPower ONE Best Plan Benefits 100 2020.pdf
pdf CoPower ONE Best Plan Benefits 150 2020.pdf
pdf CoPower ONE Best Plan Benefits 2020.pdf
pdf CoPower ONE Best Plan Benefits 50 2020.pdf
pdf CoPower ONE DeltaCare Best Plan Benefits 100 2020.pdf
pdf CoPower ONE DeltaCare Best Plan Benefits 150 2020.pdf
pdf CoPower ONE DeltaCare Best Plan Benefits 2020.pdf
pdf CoPower ONE DeltaCare Best Plan Benefits 50 2020.pdf
pdf CoPower ONE DeltaCare Better Plan Benefits 100 2020.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Spanish Plan Highlights 2019.pdf
pdf DeltaCare USA Plan 10A (Spanish).pdf
pdf DeltaCare USA Plan 10A.pdf
pdf DeltaCare USA Plan 10B.pdf
pdf DeltaCare USA Plan 11A (Spanish).pdf
pdf DeltaCare USA Plan 11A.pdf
pdf DeltaCare USA Plan 12A (Spanish).pdf
pdf DeltaCare USA Plan 12A.pdf
pdf DeltaCare USA Plan 15B (Spanish).pdf
pdf DeltaCare USA Plan 15B .pdf
pdf DeltaCare USA Plan 48N.pdf
pdf Delta Dental Classic PPO Voluntary 1000 Max Ortho-1000 Spanish Plan Highlights 2019.pdf
pdf Delta Dental Classic PPO Voluntary 1000 Max Ortho-1000 Wait-Period Plan Highlights 2019.pdf
pdf Delta Dental Classic PPO Voluntary 1000 Max Spanish Plan Highlights 2019.pdf
pdf Delta Dental Classic PPO Voluntary 1000 Max Wait-Period Plan Highlights 2019.pdf
pdf Delta Dental Classic PPO Voluntary 1500 Max Ortho-1000 Spanish Plan Highlights 2019.pdf
pdf Delta Dental Classic PPO Voluntary 1500 Max Ortho-1000 Wait-Period Plan Highlights 2019.pdf
pdf Delta Dental Classic PPO Voluntary 1500 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced Plan Summary 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1500 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Ortho 1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 2000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max DPM Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max DPM Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 2000 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Enhanced 1000 Max Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max DPM Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max DPM Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max DPM Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1500 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Ortho 1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced Evidence of Coverage.pdf
pdf Classic PPO B $1,000 Plan Highlights.pdf
pdf Classic PPO B $1,000 with DPMW Plan Highlights.pdf
pdf Classic PPO B $1,000 with Ortho _ with DPMW Plan Highlights.pdf
pdf Classic PPO B $1,000 with Ortho Plan Highlights.pdf
pdf Classic PPO B Evidence of Coverage.pdf
pdf Classic PPO B $1,500 Plan Highlights.pdf
pdf Classic PPO B $1,500 with DPMW Plan Highlights.pdf
pdf Classic PPO B $1,500 with Ortho _ with DPMW Plan Highlights.pdf
pdf Classic PPO B $1,500 with Ortho Plan Highlights.pdf
pdf Classic PPO B Evidence of Coverage.pdf
pdf Classic PPO B $2,000 with DPMW Plan Highlights.pdf
pdf Classic PPO B $2,000 with Ortho _ with DPMW Plan Highlights.pdf
pdf Classic PPO B $2,000 with Ortho Plan Highlights.pdf
pdf Classic PPO B Evidence of Coverage.pdf
pdf Classic PPO Plus Premier Value 1000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Plus Premier Value 1000 Max DPM Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Ortho 1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Ortho 1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced Evidence of Coverage.pdf
pdf Classic PPO Enhanced $2,000 Plan Highlights.pdf
pdf Classic PPO Enhanced $2,000 with DPMW Plan Highlights.pdf
pdf Classic PPO Enhanced $2,000 with Ortho $1,000 _ with DPMW Plan Highlights.pdf
pdf Classic PPO Enhanced $2,000 with Ortho $1,000 Plan Highlights.pdf
pdf Classic PPO Enhanced $2,000 with Ortho $1,500 _ with DPMW Plan Highlights.pdf
pdf Classic PPO Enhanced $2,000 with Ortho $1,500 Plan Highlights.pdf
pdf Classic PPO Enhanced 2000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 2000 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max Ortho 1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max DPM Ortho-1000 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max DPM Ortho-1500 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Ortho 1000 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Ortho-1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Ortho-1500 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Ortho-1500 Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1000 Max Spanish Plan Highlights 2019.pdf
pdf Classic PPO Enhanced Plan Summary 2019.pdf
pdf Classic PPO Enhanced 1500 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max DPM Ortho-1500 Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Enhanced 1500 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max Ortho 1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Value 1000 Max Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max DPM Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max Ortho 1000 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max Ortho 1500 DPM Spanish Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max Plan Highlights 2019.pdf
pdf Classic PPO Value 1500 Max Plan Highlights Spanish 2016.pdf
pdf Classic PPO Value 2000 Max DPM Ortho 1000 Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max DPM Ortho 1500 Plan Highlights 2019.pdf
pdf Classic PPO Value 2000 Max DPM Plan Highlights 2019.pdf
pdf Choice Premier $1,000 without Ortho Evidence of Coverage.pdf
pdf Choice Premier $1,000 without Ortho Plan Highlights.pdf
pdf Choice Premier $1,500 with Ortho Evidence of Coverage.pdf
pdf Choice Premier $1,500 with Ortho Plan Highlights.pdf
pdf Choice Premier $1,500 without Ortho Evidence of Coverage.pdf
pdf Choice Premier $1,500 without Ortho Plan Highlights.pdf
pdf Choice Premier $2,000 with Ortho Evidence of Coverage.pdf
pdf Choice Premier $2,000 with Ortho Plan Highlights.pdf
pdf Choice Premier $2,000 without Ortho Evidence of Coverage.pdf
pdf Choice Premier $2,000 without Ortho Plan Highlights.pdf
pdf Choice PPO $1,000 with Ortho Plan Highlights.pdf
pdf Choice PPO $1,000 without Ortho Plan Highlights.pdf
pdf Choice Premier $1,000 with Ortho Evidence of Coverage.pdf
pdf Choice Premier $1,000 without Ortho Evidence of Coverage.pdf
pdf Choice PPO $1,500 with Ortho Plan Highlights.pdf
pdf Choice PPO $1,500 without Ortho Plan Highlights.pdf
pdf Choice Premier $1,500 with Ortho Evidence of Coverage.pdf
pdf Choice Premier $1,500 without Ortho Evidence of Coverage.pdf
pdf Choice PPO $2,000 with Ortho Plan Highlights.pdf
pdf Choice PPO $2,000 without Ortho Plan Highlights.pdf
pdf Choice Premier $2,000 with Ortho Evidence of Coverage.pdf
pdf Choice Premier $2,000 without Ortho Evidence of Coverage.pdf
pdf DeltaCare USA Plan 11A Plan Summary.pdf
pdf DeltaCare USA Plan 12A Plan Summary.pdf
pdf DeltaCare USA Plan 15B Plan Summary.pdf
pdf DeltaCare USA Plan 48N Plan Summary.pdf
pdf Denta Dental Groups of 2-4 Summary 2014.pdf
pdf DeltaDental PPO Voluntary 5 -99 RateGuide 2020.pdf
pdf Delta_Classic_Voluntary_2-4_Rates_2020.pdf
pdf Delta Dental PPO Voluntary Rate Guide 2019.pdf
pdf Delta Dental Options Rate Guide 2019.pdf
pdf 2018 Delta Dental Options Region 4 Rate Guide.pdf
pdf 2018 Delta Dental Options Region 3 Rate Guide.pdf
pdf 2018 Delta Dental Options Region 2 Rate Guide.pdf
pdf 2018 Delta Dental Options Region 1 Rate Guide.pdf
pdf Delta Dental DeltaCare USA Rate Guide 2019.pdf
pdf 2018 Delta Dental DeltaCare USA Rate Guide.pdf
pdf Delta Dental PPO Voluntary Rate Guide 2019.pdf
pdf Delta_Classic_Voluntary_2-4_Rates_2020.pdf
pdf DeltaDental PPO Voluntary 5 -99 RateGuide 2020.pdf
pdf Choice Premier $1,000 with Ortho Evidence of Coverage.pdf
pdf Choice Premier $1,000 with Ortho Plan Highlights.pdf
pdf 2019 Delta Dental Small Business Plan (SPB) Summary of Benefits
pdf 2018 Delta Dental Classic PPO Enhanced Plan Summary.pdf
pdf 2018 Delta Dental Classic PPO Plus Premier Value Plan Summary.pdf
pdf 2018 Delta Dental Classic PPO Plus Premier Value Plan Summary.pdf
pdf 2018 Delta Dental Classic PPO Value Plan Summary.pdf
pdf 2018 Delta Dental Options PPO1 Plan Summary.pdf
pdf 2018 Delta Dental Options PPO2 Plan Summary.pdf
pdf 2018 Delta Dental Options PPO3 Plan Summary.pdf
pdf 2018 Delta Dental PPO Voluntary Plan Summary.pdf
pdf 2018 DeltaCare USA Plan 10A Plan Summary.pdf
pdf 2018 DeltaCare USA Plan 11A Plan Summary.pdf
pdf 2018 DeltaCare USA Plan 12A Plan Summary.pdf
pdf 2018 DeltaCare USA Plan 15B Plan Summary.pdf
pdf 2018 DeltaCare USA Plan 48N Plan Summary.pdf
pdf Classic PPO Plus Premier Enhanced Plan Summary 2019.pdf
pdf CoPower Delta Classic PPO Enhanced Plan Summary 2019.pdf
pdf CoPower Delta Classic PPO Plus Premier Value Plan Summary 2019.pdf
pdf CoPower Delta Classic PPO Value Plan Summary 2019.pdf
pdf Delta Dental Classic PPO Enhanced Plan Summary.pdf
pdf Delta Dental Classic PPO Options 1 Plan Summary 2019.pdf
pdf Delta Dental Classic PPO Options 2 Plan Summary 2019.pdf
pdf Delta Dental Classic PPO Options 3 Plan Summary 2019.pdf
pdf DeltaCare USA Plan 10A Plan Summary.pdf
pdf Combined Schedule of Benefits $15 20 Plan Highlights.pdf
pdf Combined Schedule of Benefits $15 30 Plan Highlights.pdf
pdf Combined Schedule of Benefits $20 20 Plan Highlights.pdf
pdf Combined Schedule of Benefits $20 30 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $10 20 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $10 30 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $15 20 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $15 30 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $20 20 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $20 30 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $10 20 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $10 30 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $15 20 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $15 30 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $20 20 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $20 30 Plan Highlights.pdf
pdf Combined Schedule of Benefits $10 20 Plan Highlights.pdf
pdf Combined Schedule of Benefits $10 30 Plan Highlights.pdf
pdf Combined Schedule of Benefits $15 20 Plan Highlights.pdf
pdf Combined Schedule of Benefits $15 30 Plan Highlights.pdf
pdf Combined Schedule of Benefits $20 20 Plan Highlights.pdf
pdf Combined Schedule of Benefits $20 30 Plan Highlights.pdf
pdf MetLife Life Flat $15K Summary of Benefits.pdf
pdf MetLife Life Flat $25K Summary of Benefits.pdf
pdf MetLife Life Flat $50K Summary of Benefits.pdf
pdf MetLife Life Supplemental Term Life.pdf
pdf CoPower SELECT Landmark Summary of Benefits and Rate Guide 2020.pdf
pdf Landmark Chiropractic Only Expanded Evidence of Coverage.pdf
pdf Landmark Chiropractic Only Standard Evidence of Coverage.pdf
pdf Landmark Combined Expanded Evidence of Coverage.pdf
pdf Landmark Combined Standard Evidence of Coverage.pdf
pdf Acupuncture Schedule of Benefits $10 20 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $10 30 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $15 20 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $15 30 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $20 20 Plan Highlights.pdf
pdf Acupuncture Schedule of Benefits $20 30 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $10 20 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $10 30 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $15 20 Plan Highlight.pdf
pdf Chiropractic Schedule of Benefits $15 30 Plan Highlights.pdf
pdf Chiropractic Schedule of Benefits $20 20 Plan Highlight.pdf
pdf Chiropractic Schedule of Benefits $20 30 Plan Highlights.pdf
pdf Combined Schedule of Benefits $10 20 Plan Highlights.pdf
pdf Combined Schedule of Benefits $10 30 Plan Highlights.pdf
pdf MetLife 5-50 DHMO MET100 Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET85 Summary of Benefits.pdf
pdf MetLife Vision M100D $10_$10 Schedule of Benefits.pdf
pdf MetLife Vision M130A $10_$0 Schedule of Benefits.pdf
pdf MetLife Vision M130A $10_$25 Schedule of Benefits.pdf
pdf MetLife Vision M130D $10_$0 Schedule of Benefits.pdf
pdf MetLife Vision M130D $10_$25 Schedule of Benefits.pdf
pdf MetLife Vision M150A $10_$10 Schedule of Benefits.pdf
pdf MetLife Vision M100D $10_$10 Schedule of Benefits (Spanish).pdf
pdf MetLife Vision M130A $10_$0 Schedule of Benefits (Spanish).pdf
pdf MetLife Vision M130A $10_$25 Schedule of Benefits (Spanish).pdf
pdf MetLife Vision M130D $10_$0 Schedule of Benefits (Spanish).pdf
pdf MetLife Vision M130D $10_$25 Schedule of Benefits (Spanish).pdf
pdf MetLife Vision M150A $10_$10 Schedule of Benefits (Spanish).pdf
pdf MetLife Life 1x Salary to $50K Summary of Benefits.pdf
pdf MetLife Life 1x Salary to $75K Summary of Benefits.pdf
pdf MetLife Life 1x Salary to $100K Summary of Benefits.pdf
pdf MetLife Life 1x Salary to $150K Summary of Benefits.pdf
pdf MetLife Life 2x Salary to $150K Summary of Benefits.pdf
pdf MetLife Life 2x Salary to $250K Summary of Benefits.pdf
pdf MetLife Life Flat $10K Summary of Benefits.pdf
pdf MetLife HC Dental PPO 100_80_50 EP Basic MAC $1500 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_80_50 EP Major 90 R_C $1500 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_80_50 EP Major MAC $1500 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Basic 90 R_C $1500 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Basic MAC $1500 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Major 90 R_C $1500 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Major MAC $1500 Max SOB (Spanish).pdf.pdf
pdf MetLife 5-50 DHMO METCO8C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO7C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO6C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO5C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO4C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO3C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO2C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO METCO1C Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET335 Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET290 Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET245 Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET225 Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET185A Summary of Benefits.pdf
pdf MetLife 5-50 DHMO MET150A Summary of Benefits.pdf
pdf MetLife 100_90_60 _ 100_80_50 $1500 Max EP Basic 90 R_C w_Ortho $1000.pdf
pdf MetLife 100_90_60 _ 100_80_50 $1500 Max EP Basic 90 R_C w_Ortho $1500.pdf
pdf MetLife 100_90_60 _ 100_80_50 $1500 Max EP Basic 90 R_C.pdf
pdf MetLife 100_90_60 _ 100_80_50 $2000 Max EP Basic 90 R_C w_Ortho $1000.pdf
pdf MetLife 100_90_60 _ 100_80_50 $2000 Max EP Basic 90 R_C w_Ortho $1500.pdf
pdf MetLife 100_90_60 _ 100_80_50 $2000 Max EP Basic 90 R_C.pdf
pdf MetLife HC Dental PPO 100_80_50 _ 80_60_40 EP Basic 90 RC $1000 Max SOB.pdf
pdf MetLife HC Dental PPO 100_80_50 _ 80_60_40 EP Basic 90 RC $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_80_50 EP Basic MAC $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_80_50 EP Major 90 R_C $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_80_50 EP Major MAC $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_90_60 $2000 Max EP Basic w_Ortho $1500.pdf
pdf MetLife HC Dental PPO 100_90_60 $2000 Max EP Basic.pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Basic 90 R_C $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Basic MAC $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Major 90 R_C $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_90_60 _ 100_80_50 EP Major MAC $1500 Max SOB.pdf
pdf MetLife HC Dental PPO 100_80_50 _ 80_60_40 EP Basic 90 RC $1000 Max SOB (Spanish).pdf
pdf MetLife HC Dental PPO 100_80_50 EP Basic 90 R_C $1500 Max SOB (Spanish).pdf
pdf Classic 2-4 1500 - 1P653 Employer Sponsored Plan Highlights.pdf
pdf Classic 1000 - 1X654 Voluntary Plan Highlights.pdf
pdf Classic 1000 - 1X655 Employer Sponsored Plan Highlights.pdf
pdf Classic 1000 Ortho - 1X679 Employer Sponsored Plan Highlights.pdf
pdf Classic 1000 Ortho - 1X685 Voluntary Plan Highlights.pdf
pdf Classic 1500 - 1X656 Voluntary Plan Highlights.pdf
pdf Classic 1500 - 1X657 Employer Sponsored Plan Highlights.pdf
pdf Classic 1500 Ortho - 1X680 Employer Sponsored Plan Highlights.pdf
pdf Classic 1500 Ortho - 1X686 Voluntary Plan Highlights.pdf
pdf Classic D250H Plan Highlights.pdf
pdf Elite D125H Plan Highlights.pdf
pdf Classic VL043 Vol.pdf
pdf Classic VL363 ER Sponsored.pdf
pdf Elite VH001 ER Sponsored.pdf
pdf Elite VH005 Vol.pdf
pdf Preferred V1008 Vol.pdf
pdf Preferred V1020 ER Sponsored.pdf
pdf MetLife 100_80_50 $1500 Max EP Basic 90 R_C w_ Ortho $1000.pdf
pdf MetLife 100_80_50 $1500 Max EP Basic 90 R_C w_ Ortho $1500.pdf
pdf MetLife 100_80_50 $1500 Max EP Basic 90 R_C.pdf
pdf MetLife 100_80_50 $2000 Max EP Basic 90 R_C w_ Ortho $1000.pdf
pdf MetLife 100_80_50 $2000 Max EP Basic 90 R_C.pdf
pdf MetLife 100_80_50 $2000 Max EP Basic 90 R_C.pdf w_ Ortho $1500.pdf
pdf Unum Voluntary Life Plan Benefit _ Rate Sheet.pdf
pdf Unum LTD 90 EP Benefits 0119.pdf
pdf Unum LTD 180 EP Benefits 0119.pdf
pdf Unum LTD 360 EP Benefits 0119.pdf
pdf Unum LTD 90 EP HPB Benefits 0119.pdf
pdf Unum LTD 180 EP HPB Benefits 0119.pdf
pdf Unum LTD 360 EP HPB Benefits 0119.pdf
pdf CoPower UnitedHealthcare Summery Of Benefits 2019.pdf
pdf Classic 2-4 1000 - 1P650 Voluntary Plan Highlights.pdf
pdf Classic 2-4 1000 - 1P651 Employer Sponsored Plan Highlights.pdf
pdf Classic 2-4 1500 - 1P652 Voluntary Plan Highlights.pdf
pdf VSP Signature Plan B $25 with Affiliate.pdf
pdf VSP Signature Plan B $25.pdf
pdf VSP Signature Plan C $0-$20 with Affiliate.pdf
pdf VSP Signature Plan C $0-$20.pdf
pdf VSP Signature Plan C $10 Voluntary with Affiliate.pdf
pdf VSP Signature Plan C $10 Voluntary.pdf
pdf VSP Signature Plan C $10 with Affiliate.pdf
pdf VSP Signature Plan C $10.pdf
pdf 2019 Unum Summary of Benefits _ Rate Guide.pdf
pdf Unum Group Term Life Plan Highlights 2019.pdf
pdf 2020 CoPower VSP Summary of Benefits and Rate Guide.pdf
pdf VSP Choice Plan A $20 with Affiliate (Spanish).pdf
pdf VSP Choice Plan A $20 with Affiliate.pdf
pdf VSP Choice Plan A $20.pdf
pdf VSP Choice Plan B $10-$25 Voluntary ($180).pdf
pdf VSP Choice Plan B $10-$25 Voluntary.pdf
pdf VSP Choice Plan B $20-$20 Voluntary with Affiliate.pdf
pdf VSP Choice Plan B $20-$20 Voluntary.pdf
pdf VSP Choice Plan B $20-$20 with Affiliate (Spanish).pdf
pdf VSP Choice Plan B $25 ($130).pdf
pdf VSP Choice Plan B $25 with Affiliate (Spanish).pdf
pdf VSP Choice Plan B $25 with Affiliate.pdf
pdf VSP Signature Plan A $25 (No Longer Sold).pdf
pdf VSP Signature Plan B $0-$20 with Affiliate.pdf
pdf VSP Signature Plan B $0-$20.pdf
pdf VSP Signature Plan B $10 Voluntary with Affiliate.pdf
pdf VSP Signature Plan B $10 Voluntary.pdf
pdf VSP Signature Plan B $25 with Affiliate (Spanish).pdf
pdf VSP Vol Plan C $25 2020.pdf
pdf VSP Voluntary Plan B $20_$20 2020.pdf
pdf VSP Voluntary Plan C $20_$20 2020.pdf
Benefit Administration Forms
Forms
pdf Commission Direct Deposit Form
pdf Dental Consumer MaxMultiplier Rollover Benefit.pdf
pdf Dental Cost Calculator.pdf
pdf Dental Flex Enhanced.pdf
pdf How to Search for a Dental Provider.pdf
pdf Laser Vision Correction.pdf
pdf Prenatal dental.pdf
pdf Travel Assistance.pdf
pdf Vision Cost Savings.pdf
pdf Vision FAQ.pdf
pdf Vision Retail Network.pdf
pdf Will and Trust Preparation.pdf
pdf Unum LTD Healthcare Protect.pdf
pdf Unum Portability Brochure (Spanish).pdf
pdf Unum Portability Brochure.pdf
pdf Worldwide Travel Assistance Employee Wallet Card.pdf
pdf Worldwide Travel Assistance Flyer.pdf
pdf Employee Assistance Program Flyer.pdf
pdf Unum Voluntary Term Life and AD_D Insurance.pdf
pdf What Would Your Family Do Without Your Income.pdf
pdf Why Unum Life Insurance Fact Sheet.pdf
pdf Work-Life Balance EAP Employee Flyer.pdf
pdf Worldwide Travel Assistance Employee Education Flyer.pdf
pdf Worldwide Travel Assistance Employee Wallet Card.pdf
New Group Sign Up Forms
Forms
pdf Employee Enrollment change form (in lieu of census enrollment) 
pdf MetLife Statement of Health Form
pdf CoPower ONE Employer Application
pdf CoPower ONE Census Enrollment Form
pdf CoPower ONE Waiver Form
pdf CoPower Producer Agreement
pdf Broker-Agency Direct Deposit Authorization Form
pdf W-9 Form
pdf CoPower SELECT Employer Application with VSP
pdf CoPower SELECT Employer Application Form with UnitedHealthcare
pdf CoPower SELECT Census Enrollment Form - Dental/Vision/ChiroAcu
pdf CoPower SELECT Census Enrollment Form - Basic Life & LTD
pdf Waiver Form - Dental
pdf Waiver Form - Vision
pdf Application for Group Insurance
pdf Specialty Market Submission Form
vnd.ms-excel MetLife eCensus Format - All Coverages
msword HIPAA Request Form
pdf Electronic Debit Payment Authorization Form
pdf MetLife Dental Waiver Form
pdf MetLife Vision Waiver Form
msword DHMO Group Application (only if group is enrolling in DHMO Plan)
pdf AXA Assistance USA, Inc Service Agreement (only if group is enrolling in Supplemental Life Plan)