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