Group Insurance Agent Tool

Assurant
•       Application
•       Beneficiary Designation Form


Blue Cross
•       Enrollment Form
•       Additional Information
•       Appeals Form
•       Dental Claim Form
•       Dependent Certification
•       Medical Guide Questionnaire
•       Other Coverage Questionnaire
•       BCBS Prior Carrier Form


Brokers National


Coventry
•       Ages 2–19 Enrollment Form
•       Ages 20-35 Enrollment Form
•       Ages 36+ Enrollment Form


Humana
•       Ages 2-25 Application
•       Ages 26-99 Application
•       Delegation Form
•       Employee Change Form


Starmount


United Health Care
•       2-99 Application