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Documents
| Selection | File type icon | File name | Description | Size | Revision | Time | User |
|---|---|---|---|---|---|---|---|
| Ċ | View Download |
1104k | v. 1 | May 13, 2011, 11:41 AM | Brian Gold | ||
| Ċ | View Download |
119k | v. 1 | May 13, 2011, 11:41 AM | Brian Gold | ||
| Ċ | View Download |
Beneficiary Change form for MetLife. Have your administrator keep the original in your file and email a copy to us. | 22k | v. 1 | May 13, 2011, 11:49 AM | Brian Gold | |
| ĉ | View Download |
25k | v. 1 | May 13, 2011, 11:48 AM | Brian Gold | ||
| Ċ | View Download |
You should have received dental cards when you were hired. Cards are not necessary for coverage. Print this temporary card and let us know if you would like us to mail you a new card. | 102k | v. 2 | May 13, 2011, 11:46 AM | Brian Gold | |
| Ċ | View Download |
If you need to establish a Fidelity account for your 403(b) retirement plan, fill out this form and either send it to the ACO or send it directly to Fidelity and let us know that you've done so (they won't tell us when they receive it). | 1067k | v. 1 | May 13, 2011, 11:51 AM | Brian Gold | |
| Ċ | View Download |
Form to convert group life to individual life, upon termination of group coverage. | 68k | v. 1 | May 13, 2011, 11:41 AM | Brian Gold | |
| Ċ | View Download |
55k | v. 1 | May 20, 2011, 4:20 PM | Brian Gold | ||
| ĉ | View Download |
This agreement, between the employee and employer, is required for employee contributions to the retirement plan. Send the original to your administrator. | 12k | v. 1 | May 13, 2011, 11:52 AM | Brian Gold | |
| Ċ | View Download |
Print this card, or let us know if you would like us to mail you a new card. | 1938k | v. 2 | May 13, 2011, 11:47 AM | Brian Gold | |
| Ċ | View Download |
If you have voluntary life and a terminated, fill out this form to take your voluntary coverage with you. Premiums will be sent directly to MetLife | 470k | v. 1 | May 13, 2011, 11:42 AM | Brian Gold |
FSA - Group Dynamic