[et_pb_section fb_built=”1″ custom_padding_last_edited=”on|desktop” admin_label=”section” _builder_version=”3.0.74″ box_shadow_position=”outer” custom_padding_tablet=”50px|0|50px|0″ transparent_background=”off” background_color=”#ededed” use_background_color_gradient=”on” background_color_gradient_start=”#d9e1e9″ background_color_gradient_end=”#ffffff” background_color_gradient_start_position=”14%” background_color_gradient_direction=”194deg” background_color_gradient_end_position=”48%” custom_padding=”164px|0px|296px|0px|false|false”][et_pb_row custom_padding=”0|0px|27px|0px|false|false” column_padding_mobile=”on” admin_label=”row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ column_padding_mobile=”on” parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Forms” _builder_version=”3.0.87″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n
[\/et_pb_text][et_pb_tabs active_tab_background_color=”#19a3dd” admin_label=”Coverage Tabs” _builder_version=”3.19.11″ tab_font_size=”12″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” border_color_all=”#d8d8d8″ use_border_color=”on” saved_tabs=”all”][et_pb_tab title=”Medical Forms” _builder_version=”3.19.11″ tab_font=”||||” tab_line_height=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” body_font=”||||” body_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em”]United Healthcare Medical Claim Form<\/a> Kaiser Medical Claim Form<\/a> FSA Medical Care Reimbursement Form<\/a> [\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Forms United Healthcare Medical Claim Form United Healthcare Pharmacy Claim Form United Healthcare Mail Order Pharmacy Claim Form Kaiser Medical Claim Form United Healthcare Dental Claim Form VSP Vision Claim Form Mutual of Omaha Voluntary Life Evidence of Insurability Form Mutual of Omaha LTD Claim Form Mutual of Omaha STD Claim Form Critical Illness\/Accident Health […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"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-498","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/pages\/498","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/comments?post=498"}],"version-history":[{"count":0,"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/pages\/498\/revisions"}],"wp:attachment":[{"href":"https:\/\/mybenefits.cc\/mps\/wp-json\/wp\/v2\/media?parent=498"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nUnited Healthcare Pharmacy Claim Form<\/a>
\nUnited Healthcare Mail Order Pharmacy Claim Form<\/a><\/p>\n
\n[\/et_pb_tab][et_pb_tab title=”Dental Forms” _builder_version=”3.19.11″ tab_font=”||||” tab_line_height=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” body_font=”||||” body_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em”]United Healthcare Dental Claim Form<\/a>
\n[\/et_pb_tab][et_pb_tab title=”Vision Forms” _builder_version=”3.19.11″ tab_font=”||||” tab_line_height=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” body_font=”||||” body_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em”]VSP Vision Claim Form<\/a>
\n[\/et_pb_tab][et_pb_tab title=”Life & Disability Forms” _builder_version=”3.19.11″ tab_font=”||||” tab_line_height=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” body_font=”||||” body_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em”]Mutual of Omaha Voluntary Life Evidence of Insurability Form<\/a>
\nMutual of Omaha LTD Claim Form<\/a>
\nMutual of Omaha STD Claim Form<\/a>
\n[\/et_pb_tab][et_pb_tab title=”Voluntary Forms” _builder_version=”3.19.11″ tab_font=”||||” tab_line_height=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” body_font=”||||” body_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em”]Critical Illness\/Accident Health Screening Benefit Claim Form<\/a>
\nCritical Illness\/Specified Disease Claim Form<\/a>
\nAccident Claim Form<\/a>
\n[\/et_pb_tab][et_pb_tab title=”FSA \/ Commuter Benefit Forms” _builder_version=”3.19.11″ tab_font=”||||” tab_line_height=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” body_font=”||||” body_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em”]<\/p>\n
FSA Dependent Care Reimbursement Form<\/a>
Commuter Benefit Claim Form<\/a><\/p>\n