Use
the resources below to get information, forms, and authorizations
from our partners.
|
Allstate Workplace Division
(American Heritage Life)
|
|
American Heritage Life Cancer Screening
Claim Form
|
 |
|
AHL Policy & Change Request Form
|
 |
|
Bank Draft Authorization
|
 |
|
Beneficiary Change Request
|
 |
|
TransAmerica Insurance Company
|
|
Claim Form
|
 |
|
Policy Change Request Form
|
 |
|
Request for Surrender: Policy Cancellation
|
 |
|
Unum
|
|
Unum Critical Illiness Claim Form:VB-378
|
 |
|
Unum Provident Life Insurance Claim
Form
|
 |
|
Unum Life Insurance Policy Change
Request
|
 |
|
Fidelity
|
|
Request for Service
|
 |
|
Replacement of Life Insurance
|
 |
|
Beneficiary Change Request
|
 |
You will need Adobe® Reader
to view these files.
If you do not have the reader, click
here to download it for free.
|
 |
Looking for more information?
For more information, including individual premium pricing,
or to enroll, contact a ShandsSelect voluntary benefits
specialist by calling toll free (800) 476-3801 or 352-265-0680
ext 85149. You may also complete the Information
Request Form and a benefits specialist will contact
you.