• Election Form
• Change Form
• Spousal Affidavit
• Appeal Request Form
• 2nd Level Appeal Form
• Continuation of Insurance due to Incapacity
• Authorization to Release Information Form
• Authorization to Revoke Release of Health Information Form

Beneliance – New Provider for 2026

• Beneliance – HSA Election Form
• Beneliance HSA FAQ
• HSA and FSA Claims Documentation Information

Optum Claims and Transfer Requests

• 2025 HSA Claim Form
• 2025 HSA Transfer Request

• Beneliance – FSA Election Form (New for 2026)
• HSA and FSA Claims Documentation Information

Optum Claims

• 2025 FSA Claim Form

• 2026 Delta Dental Plan Comparison
• Delta Dental Application 2026
• Humana Vision Application
• 2026 Colonial Life Enrollment Brochure

• Non-AASIS Matching Form
• Non-AASIS Termination or Retirement Form
• EBD Event Request Form
• Pharmacy Reimbursement Claim Form
• AR Diamond Plan Opt-Out Form
• Request to Remove/Change IT168-Life & IT377-Misc. Plans Form

• Election Form
• Change Form
• Spousal Affidavit
• Appeal Request Form
• 2nd Level Appeal Form
• Continuation of Insurance Due to Incapacity
• Authorization to Release Information Form
• Authorization to Revoke Release of Health Information Form

• 2026 Colonial Life Enrollment Brochure

• EBD Event Request Form
• Pharmacy Reimbursement Claim Form

Beneliance – New Provider for 2026

• Beneliance – HSA Election Form
• Beneliance HSA FAQ
• HSA Claims Documentation Information

Optum Claims and Transfer Requests

• 2025 HSA Claim Form
• 2025 HSA Transfer Request