Benefit Manager Information

Wells Fargo Transmittal Form
Benefit Manager Supply Request Form
Enrollment Form
SBPA Premium Invoice Legend
Life Insurance - Yearly Salary Changes
Life Insurance - Instructions for Filing Group Life Insurance Claims
Sample NCAS HIPAA Certificate

COBRA

Sample Continuation Coverage Election Notice
Summary of Premium Reduction Provisions under the American Recovery & Reinvestment Act
Sample Application for Treatment as an Assistance Eligible Individual
Sample Application for Other Group Health Plan Coverage or Medicare