[et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ background_color=”#ededed” use_background_color_gradient=”on” background_color_gradient_stops=”#00305e 0%|#7ba9da 100%” background_color_gradient_start=”#00305e” background_color_gradient_end=”#7ba9da” transparent_background=”off” padding_mobile=”off” global_colors_info=”{}”][et_pb_row column_padding_mobile=”on” admin_label=”row” _builder_version=”4.16″ background_color=”rgba(255,255,255,0.9)” background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”|13px||13px||true” 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=”#4f4f4f” inactive_tab_background_color=”#7ba9da” active_tab_text_color=”#ffffff” admin_label=”Coverage Tabs” _builder_version=”4.27.4″ tab_text_color=”#ffffff” tab_font_size=”12px” background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”|||18px||” 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=”4.27.4″ 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
Medical Opt-Out Form<\/a><\/p>\n Anthem Medical Claim Form<\/a> Kaiser Claim Form<\/a><\/p>\n [\/et_pb_tab][et_pb_tab title=”Dental Forms” _builder_version=”4.27.4″ 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 Dental Opt-Out Form<\/a><\/p>\n Anthem Dental Claim Form<\/a><\/p>\n [\/et_pb_tab][et_pb_tab title=”Vision Forms” _builder_version=”4.24.2″ 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=”{}”]VSP Vision Claim Form<\/a>[\/et_pb_tab][et_pb_tab title=”Life & Disability Forms” _builder_version=”4.27.4″ 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 The Standard Life and AD&D Claim Form<\/a>
Anthem Pharmacy Reimbursement Claim Form<\/a>
Anthem Mail Order Pharmacy Reimbursement Claim Form<\/a><\/p>\n
The Standard Short Term Disability Claim Form<\/a>
The Standard Long Term Disability Claim Form<\/a>
The Standard Request for Group Life Conversion Information Form<\/a><\/p>\n