[et_pb_section fb_built=”1″ custom_padding_last_edited=”on|desktop” admin_label=”section” _builder_version=”4.16″ background_color=”#ededed” use_background_color_gradient=”on” background_color_gradient_direction=”194deg” background_color_gradient_stops=”#d9e1e9 14%|#ffffff 48%” background_color_gradient_start=”#d9e1e9″ background_color_gradient_start_position=”14%” background_color_gradient_end=”#ffffff” background_color_gradient_end_position=”48%” custom_padding=”164px|0px|296px|0px|false|false” custom_padding_tablet=”50px|0|50px|0″ custom_padding_phone=”” transparent_background=”off” global_colors_info=”{}”][et_pb_row column_padding_mobile=”on” admin_label=”row” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”0|0px|27px|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”Forms” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][et_pb_tabs active_tab_background_color=”#19a3dd” admin_label=”Coverage Tabs” _builder_version=”4.27.3″ tab_font_size=”12″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” hover_enabled=”0″ border_color_all=”#d8d8d8″ use_border_color=”on” saved_tabs=”all” global_colors_info=”{}” sticky_enabled=”0″][et_pb_tab title=”Medical Forms” _builder_version=”4.23″ body_font=”||||” body_line_height=”2em” tab_font=”||||” tab_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” global_colors_info=”{}”]<\/p>\n
Anthem Claim Forms-Search by state<\/a><\/p>\n Kaiser Medical Claim Form (Paid to Provider Reimbursement)<\/a> [\/et_pb_tab][et_pb_tab title=”Dental Forms” _builder_version=”4.27.3″ body_font=”||||” body_line_height=”2em” tab_font=”||||” tab_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” global_colors_info=”{}”]<\/p>\n Claim Form<\/a><\/p>\n [\/et_pb_tab][et_pb_tab title=”Vision Forms” _builder_version=”4.27.3″ body_font=”||||” body_line_height=”2em” tab_font=”||||” tab_line_height=”2em” hover_enabled=”0″ body_line_height_tablet=”2em” body_line_height_phone=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n Claim Form<\/a><\/p>\n [\/et_pb_tab][et_pb_tab title=”Life & Disability Forms” _builder_version=”4.27.3″ body_font=”||||” body_line_height=”2em” tab_font=”||||” tab_line_height=”2em” body_line_height_tablet=”2em” body_line_height_phone=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” global_colors_info=”{}”]<\/p>\n Mutual of Omaha Voluntary Life Evidence of Insurability<\/a> [\/et_pb_tab][et_pb_tab title=”Voluntary Forms” _builder_version=”4.27.3″ body_font=”||||” body_line_height=”2em” tab_font=”||||” tab_line_height=”2em” hover_enabled=”0″ body_line_height_tablet=”2em” body_line_height_phone=”2em” tab_line_height_tablet=”2em” tab_line_height_phone=”2em” global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n Critical Illness\/Specified Disease & Accident Claim Form-Search by state and plan<\/a><\/p>\n
Kaiser Medical Claim Form (Out-of-Pocket Reimbursement)<\/a><\/p>\n
Mutual of Omaha Claim Forms-Search by State and Plan<\/a><\/p>\n