Forms & Documents

Enrollment Forms

Employee

	Benefit Waiver and Declination Form
	CoPower MetLife Dental-Life Disabled Dependent Form
	CoPower SUITE MetLife Beneficiary Designation Form
	Declaration of Disability Over-Age Dependent Child Form
	Delta Dental DeltaCare Claim Form
	MetLife Beneficiary Designation Form
	New Group Enrollment/Waiver Form
	New Group Enrollment/Waiver Form (Spanish)
	Unum Beneficiary Designation Form
	Unum Beneficiary Designation Form (Spanish)
	Unum Employee Voluntary Life Application
	Unum Evidence of Insurability Form (Spanish)
	Unum Member Voluntary Life Application (Spanish)
	UnumEvidence of Insurability Form

Sales Guides & Flyers

Brochures/Flyers: Member

	Member Perks for Your Smile and Beyond (Spanish)
	7 Ways to Make the Most of Your Dental Plan (PPO + Premier)
	BrushSmart™ transforms your oral health
	Coordinate Two Plans with Dual Coverage
	Cost Estimator
	Delta Dental Coverage While Traveling
	DeltaCare USA 8 Ways to Make the Most of Your Dental Plan
	Employee Assistance Program Flyer
	Get Check-ups Remotely with Virtual Dentistry!
	Get the Facts Straight - Ortho DCU
	Group Voluntary Term Life EE Guide
	Make the Most of Your Dental Plan (PPO)
	Member Perks for Your Smile and Beyond
	PPO + Premier Product Flyer
	Resources at Your Fingertips - Online Tools
	Unum Group LTD Employee Education Flyer
	Unum Long Term Disability Benefit Summary Flyer
	Unum Voluntary Life Plan Benefit Rate Sheet
	Unum Voluntary Term Life and AD&D Insurance
	Unum Why Buy AD&D Insurance Employee Flyer
	Unum Why Buy Term Life Insurance Employee Flyer
	VSP EasyOptions
	VSP Essential Medical Eye Care (Member)
	VSP Eyeconic
	VSP Eyeconic Save Time and Money
	VSP Freedom to Choose with Retail
	VSP Put Your Eyes At Ease with VSP LightCare (Member)
	VSP Ultimate Provider Playlist with Retail
	VSP/CoPower - See Well. Be Well.
	VSP/CoPower Your Vision Coverage Works Overtime
	What Would Your Family Do Without Your Income
	Where's My ID Card
	Where's My ID Card (Spanish)
	Worldwide Travel Assistance Employee Wallet Card
	Worldwide Travel Assistance Flyer

Summary of Benefits (SOB)

Dental PPO: Delta Dental

	Choice PPO $1,500 without Ortho Plan Highlights
	Choice Premier $1,000 without Ortho Evidence of Coverage
	Choice Premier $1,000 without Ortho Evidence of Coverage
	Choice Premier $1,000 without Ortho Plan Highlights
	Choice Premier $1,500 without Ortho Evidence of Coverage
	Choice Premier $1,500 without Ortho Evidence of Coverage
	Choice Premier $1,500 without Ortho Plan Highlights
	Choice Premier $2,000 without Ortho Evidence of Coverage
	Choice Premier $2,000 without Ortho Evidence of Coverage
	Choice Premier $2,000 without Ortho Plan Highlights
	CoPower ONE Benefit Highlights Voluntary Plan No Ortho
	CoPower ONE Best Plan Highlights w/$100K Life - New York
	CoPower ONE Best Plan Highlights w/$150K Life - New York
	CoPower ONE Best Plan Highlights w/$25K Life - New York
	CoPower ONE Best Plan Highlights w/$35K Life - New York
	CoPower ONE Best Plan Highlights w/$50K Life - New York
	CoPower ONE Better Plan Highlights w/$100K Life - New York
	CoPower ONE Better Plan Highlights w/$150K Life - New York
	CoPower ONE Better Plan Highlights w/$20K Life - New York
	CoPower ONE Better Plan Highlights w/$35K Life - New York
	CoPower ONE Better Plan Highlights w/$50K Life - New York
	CoPower ONE Better Plus Plan Highlights w/$100K Life - New York
	CoPower ONE Better Plus Plan Highlights w/$150K Life - New York
	CoPower ONE Better Plus Plan Highlights w/$20K Life - New York
	CoPower ONE Better Plus Plan Highlights w/$35K Life - New York
	CoPower ONE Better Plus Plan Highlights w/$50K Life - New York
	CoPower ONE Bronze Plan Highlights w/$100K Life
	CoPower ONE Bronze Plan Highlights w/$150K Life
	CoPower ONE Bronze Plan Highlights w/$15K Life
	CoPower ONE Bronze Plan Highlights w/$35K Life
	CoPower ONE Bronze Plan Highlights w/$50K Life
	CoPower ONE Gold Plan Highlights w/$100K Life
	CoPower ONE Gold Plan Highlights w/$150K Life
	CoPower ONE Gold Plan Highlights w/$20K Life
	CoPower ONE Gold Plan Highlights w/$35K Life
	CoPower ONE Gold Plan Highlights w/$50K Life
	CoPower ONE Good Plan Highlights w/$100K Life - New York
	CoPower ONE Good Plan Highlights w/$150K Life - New York
	CoPower ONE Good Plan Highlights w/$15K Life - New York
	CoPower ONE Good Plan Highlights w/$35K Life - New York
	CoPower ONE Good Plan Highlights w/$50K Life - New York
	CoPower ONE Highlights Voluntary Plan
	CoPower ONE Platinum Plan Highlights w/$100K Life
	CoPower ONE Platinum Plan Highlights w/$150K Life
	CoPower ONE Platinum Plan Highlights w/$25K Life
	CoPower ONE Platinum Plan Highlights w/$35K Life
	CoPower ONE Platinum Plan Highlights w/$50K Life
	CoPower ONE Silver Plan Highlights w/$100K Life
	CoPower ONE Silver Plan Highlights w/$150K Life
	CoPower ONE Silver Plan Highlights w/$20K Life
	CoPower ONE Silver Plan Highlights w/$35K Life