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Current Highlights
Updated 11/6/08: Market swings shouldn't panic investors
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Group Plans Insurance Forms
for 2008
The forms on this page are for administrators and employees in GuideStone Group Plans. Forms for Personal Plans employees, retirees and seminarians can be found on the
Personal Plans forms page
.
Medical/Dental Enrollment Forms
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Group Plans Enrollment Form (pdf)
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Group Plans Evidence of Good Health application (pdf)
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Special and Late Applicant Enrollment Form (pdf)
Coverage-Related Forms
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Employer Change Report - to change employees' coverage or information (pdf)
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Request for Continuation of Insurance Eligibility (pdf)
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Employer Acceptance Agreement (pdf)
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Request for Medical and/or Dental Continuation (MCP) (pdf)
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Employee Waiver of Coverage (pdf)
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Dependent Child Eligibility Questionnaire (pdf)
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Continuation for Disabled Child (for medical) (pdf)
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Continuation for Disabled Child (for Life Insurance) (pdf)
Life, Accident and Disability
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Coverage Application (EOGH) for Group Plans Employees (pdf)
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Beneficiary Designation (pdf)
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Refusal of Increase of Term Life (pdf)
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Unum Life Insurance Conversion (pdf)
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Unum Life Insurance Election of Portability (pdf)
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Unum Portability Rates (pdf)
.
Medical-Related Forms
General Forms
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Home Delivery RX Order Form (pdf)
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Protected Health Information Disclosure (pdf)
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Withdrawal of Protected Health Disclosure (pdf)
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Preventive Care Schedule (pdf)
Medical Information Use & Disclosure
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Privacy Practices of Health Plans Notice (pdf)
Miscellaneous
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Plan Booklets
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Begin Electronic Payments (pdf)
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Terminate Electronic Payments (pdf)
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Medicare Secondary Payer (pdf)
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Employer Access Designation Form (pdf)
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Group Employer Administration Manual (pdf)
Need Help Choosing a Plan?
Our comparison chart
will help remove the confusion of selecting a medical plan.
Well Informed
Tools and resources
to help you with your health care choices, needs and expenses.
Did you know...
Your insurance payment can be on time every month by signing up for
automatic bank drafts
.
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