{"id":36,"date":"2019-05-23T20:39:21","date_gmt":"2019-05-23T20:39:21","guid":{"rendered":"https:\/\/mybenefits.cc\/grabango24\/\/?page_id=36"},"modified":"2024-04-29T21:49:16","modified_gmt":"2024-04-29T21:49:16","slug":"forms","status":"publish","type":"page","link":"https:\/\/mybenefits.cc\/grabango\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.16&#8243; background_color=&#8221;RGBA(0,0,0,0)&#8221; background_image=&#8221;https:\/\/mybenefits.cc\/grabango24\/wp-content\/uploads\/sites\/2939\/2021\/05\/how-desktop.svg&#8221; parallax=&#8221;on&#8221; parallax_method=&#8221;off&#8221; custom_padding=&#8221;||233px|||&#8221; custom_padding_tablet=&#8221;50px|0|50px|0&#8243; custom_padding_phone=&#8221;&#8221; transparent_background=&#8221;off&#8221; padding_mobile=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_padding_mobile=&#8221;on&#8221; admin_label=&#8221;row&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;0|0px|27px|0px|false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Forms&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1>Forms<\/h3>\n<p>[\/et_pb_text][et_pb_tabs active_tab_background_color=&#8221;#ee0c0d&#8221; inactive_tab_background_color=&#8221;#31465a&#8221; active_tab_text_color=&#8221;#FFFFFF&#8221; admin_label=&#8221;Coverage Tabs&#8221; _builder_version=&#8221;4.25.0&#8243; tab_text_color=&#8221;#FFFFFF&#8221; tab_font_size=&#8221;12&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; border_color_all=&#8221;#d8d8d8&#8243; use_border_color=&#8221;on&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_tab title=&#8221;Medical&#8221; _builder_version=&#8221;4.24.2&#8243; body_font=&#8221;||||&#8221; body_line_height=&#8221;2em&#8221; tab_font=&#8221;||||&#8221; tab_line_height=&#8221;2em&#8221; body_line_height_tablet=&#8221;2em&#8221; body_line_height_phone=&#8221;2em&#8221; tab_line_height_tablet=&#8221;2em&#8221; tab_line_height_phone=&#8221;2em&#8221; global_colors_info=&#8221;{}&#8221;]<a href=\"https:\/\/acribenefits.com\/data1\/dnload\/blueshield\/bsclaimform.pdf\">Blue Shield Medical Claim Form<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/dnload\/blueshield\/bsrxclaimform.pdf\">Blue Shield Prescription Claim Form<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/dnload\/blueshield\/bsrxmailorder-expressscripts.pdf\">Blue Shield Mail Order Prescription Form<\/a><\/p>\n<p><a href=\"https:\/\/acribenefits.com\/data1\/dnload\/kaiser\/claimform.pdf\">Kaiser Claim Form<\/a>[\/et_pb_tab][et_pb_tab title=&#8221;Dental&#8221; 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Disability&#8221; _builder_version=&#8221;4.24.2&#8243; body_font=&#8221;||||&#8221; body_line_height=&#8221;2em&#8221; tab_font=&#8221;||||&#8221; tab_line_height=&#8221;2em&#8221; body_line_height_tablet=&#8221;2em&#8221; body_line_height_phone=&#8221;2em&#8221; tab_line_height_tablet=&#8221;2em&#8221; tab_line_height_phone=&#8221;2em&#8221; global_colors_info=&#8221;{}&#8221;]<a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-life-portability-form.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Life Portabillity Form<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-life-portability-premium-rates.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Life Portability Premium Rates<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-conversion-form.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Life Conversion Form<\/a><\/p>\n<p><a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-ben-form.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Beneficiary Designation Form<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-eoi-form.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Evidence of Insurability Form<\/a><\/p>\n<p><a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-ltd-claim.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Long-Term Disability Claim<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/grabango\/2024\/forms\/guardian-std-claim.pdf\" target=\"_blank\" rel=\"noopener\">Guardian Short-Term Disability Claim<\/a>[\/et_pb_tab][et_pb_tab title=&#8221;Flexible Spending Account&#8221; _builder_version=&#8221;4.25.0&#8243; body_font=&#8221;||||&#8221; body_line_height=&#8221;2em&#8221; tab_font=&#8221;||||&#8221; tab_line_height=&#8221;2em&#8221; hover_enabled=&#8221;0&#8243; body_line_height_tablet=&#8221;2em&#8221; body_line_height_phone=&#8221;2em&#8221; tab_line_height_tablet=&#8221;2em&#8221; tab_line_height_phone=&#8221;2em&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<a href=\"https:\/\/acribenefits.com\/data1\/benefitsm\/grabango\/2021\/125dcw.pdf\" target=\"_blank\" rel=\"noopener\">FSA Data Collection Worksheet<\/a><br \/>\n<a href=\"https:\/\/acribenefits.com\/data1\/forms\/wex\/fsa-claim.pdf\" target=\"_blank\" rel=\"noopener\">FSA Claim Form<\/a>[\/et_pb_tab][et_pb_tab title=&#8221;Wellness&#8221; _builder_version=&#8221;4.24.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<a href=\"https:\/\/acribenefits.com\/data1\/benefitsm\/grabango\/wellness.pdf\" target=\"_blank\" rel=\"noopener\">Claim Form<\/a>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>FormsBlue Shield Medical Claim Form Blue Shield Prescription Claim Form Blue Shield Mail Order Prescription Form Kaiser Claim FormGuardian Dental Claim FormGuardian (VSP) Vision Claim FormGuardian Life Portabillity Form Guardian Life Portability Premium Rates Guardian Life Conversion Form Guardian Beneficiary Designation Form Guardian Evidence of Insurability Form Guardian Long-Term Disability Claim Guardian Short-Term Disability ClaimFSA [&hellip;]<\/p>\n","protected":false},"author":441,"featured_media":0,"parent":0,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-36","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/pages\/36","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/users\/441"}],"replies":[{"embeddable":true,"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/comments?post=36"}],"version-history":[{"count":0,"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/pages\/36\/revisions"}],"wp:attachment":[{"href":"https:\/\/mybenefits.cc\/grabango\/wp-json\/wp\/v2\/media?parent=36"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}