Forms

Forms

We’ve compiled a list of the most frequently used insurance forms below, provided to you as a free service. Click on a link to be taken to the form of your choosing. If the form you’re seeking isn’t listed here, please let us know and we’ll do what we can to help you locate it.


Aetna: www.aetna.com/index.html

Aflac:  www.aflac.com/individuals/default.aspx

Allegiance: http://www.abpmtpa.com/

Ameritas: www.ameritasgroup.com/member

American Chartered: www.americanchartered.com/default.aspx

Associated Oregon Industries/AOI:  http://www.aoihealthchoice.com/index.php?option=com_content&view=article&id=3&Itemid=15

Assurant: www.assuranthealth.com

Benefithelp Solutions: www.benefithelpsolutions.org/index.shtml

Companion:  http://www.companionlife.com/

Great West: http://www.greatwest.com/

Group Health: https://employer.ghc.org/open/

Guardian: www.guardianlife.com

HealthNet: https://www.healthnet.com/portal/member/home.ndo

HSA Bank: www.hsabank.com/hsabank/accountholders.aspx

Kaiser:  www.kaiserpermanente.org

Landmark: https://landmark-dental.com

Lifewise: www.lifewiseor.com

Lifewise Assurance: www.lifewiseac.com

Lincoln: www.lfg.com

Manley: http://psa.pacificsource.com/PSA/

Metlife:

Mutual of Omaha: www.mutualofomaha.com/customer_service/employee/index.html

Moda: https://www.modahealth.com/index.shtml?dn=ods

PacificSource: www.pacificsource.com/default.aspx

Premera: www.premera.com

Principal: www.principal.com/index.shtm<

Providence: http://www.providence.org/healthplans/default.aspx

Regence Bluecross Blueshield of Oregon: http://www.regence.com/OR/member/index.jsp

Regence Life & Health: https://www.lifemapco.com/

Securian:  www.securiandental.com

Sun Life: www.sunlife.com/us

The Standard Insurance: http://www3.standard.com/net/public/Individuals

United Concordia: www.ucci.com

United Healthcare:

Unum:  www.unum.com

Willamette Dental:  www.willamettedental.com/en_us/index.php