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Forms Library

The reality of today's workplace is that employees are often changing jobs or changing status that affects their benefits coverage. To assist you in the important work of benefits administration, Advantage Benefits Group has assembled the commonly used forms that our clients need to manage their health and disability insurance plans.

Click on each link for a downloadable or printable copy of the relevant form.

General Human Resources Forms


Group Medical & Dental Administration & Enrollment

Group Life & Disability Administration & Claim Forms

  • Fort Dearborn Life (FDL) Enrollment
  • FDL Life/Death Claim
  • FDL Evidence of Insurability
  • FDL Short Term Disability Claim
  • Tufts Transmittal
  • Group Waiver Form
  • Security Mutual Group Application
  • USAble Enrollment Form
  • Security Mutual Enrollment Form
  • USAble Group Application
  • Security Mutual Short Term Disability Claim
  • USAble Short Term Disability Claim
  • Security Mutual Long Term Disability Claim
  • USAble Beneficiary Change
  • Security Mutual Death Claim Form
  • USAble Death Claim Form
  • Security Mutual Evidence of Insurability
  • USAble Evidence of Insurability
  • Security Mutual Supplemental Claim
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    Toll Free (800) 426-2413 | Vanessa@AdvantageBenefits.com | Bill@AdvantageBenefits.com
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