Our forms are available in Portable Document Format (PDF). To view the forms, you may need to download the latest version of Adobe® Acrobat® Reader available at www.adobe.com.
This form is used by the employer for new business submission.
This form is used at new business submission to accompany the master application.
This employee form is used when applying for Educator Benefits Solutions® coverage under their employer’s group insurance policy.
This employee form is used to continue the Educator Benefits Solutions® disability coverage for up to 12 months after employment ends.
This form is used to file Educator Benefits Solutions® long-term or short-term disability claims.
This employer form is used to request additional Educator Benefits Solutions® materials.