125/FSA Forms

• MGM Flex Website

Claim Forms: Unum Disability

• Educator Select Disability Insurance Claim Form
• Medical Treatment Benefit Claim Form

Claim Forms: Life

• Unum Life Insurance Claim Form
• Met Life Insurance Claim Form
• Dearborn National Life Insurance Claim Form

Unum Administrative Forms:

• Group Long Term Disability Conversion Facts
• Group Life Insurance Waiver of Premium Form
• Life Insurance Election of Portability Application
• Life Insurance Notice of Conversion Privilege