[et_pb_section fb_built=”1″ custom_padding_last_edited=”on|desktop” admin_label=”section” _builder_version=”4.16″ background_color=”rgba(0,0,0,0)” custom_margin=”100px||||false|false” custom_padding=”||207px|||” custom_padding_tablet=”50px|0|50px|0″ custom_padding_phone=”” border_width_bottom=”1px” border_color_bottom=”#cbcaca” transparent_background=”off” padding_mobile=”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=”4.27.0″ text_font=”Baskervville|700|||||||” text_text_color=”#ff2600″ text_font_size=”16px” text_letter_spacing=”1px” 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
Benefits Election Form – Click Here<\/a><\/p>\n [\/et_pb_text][et_pb_tabs active_tab_background_color=”#383838″ inactive_tab_background_color=”#ffffff” active_tab_text_color=”#ffffff” admin_label=”Coverage Tabs” _builder_version=”4.27.4″ 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=”4.24.2″ 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=”{}”]United Healthcare Medical Enrollment \/ Waiver Form<\/a> Guardian Enrollment Form<\/a> [\/et_pb_tab][et_pb_tab title=”Life & AD&D 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 Mutual of Omaha Beneficiary Designation Form<\/a> [\/et_pb_tab][et_pb_tab title=”FSA Forms” _builder_version=”4.27.0″ 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=”{}”]FSA Enrollment Form<\/a> Forms Benefits Election Form – Click HereUnited Healthcare Medical Enrollment \/ Waiver Form United Healthcare Medical Change Form United Healthcare Claim Form United Healthcare Pharmacy Reimbursement Claim Form United Healthcare Mail Order Pharmacy Reimbursement Claim FormGuardian Dental Enrollment Form Guardian Dental Claim FormGuardian Enrollment FormGuardian Vision Claim FormMutual of Omaha Beneficiary Designation FormMutual of Omaha […]<\/p>\n","protected":false},"author":243,"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\/serenaandlily\/wp-json\/wp\/v2\/pages\/36","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mybenefits.cc\/serenaandlily\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mybenefits.cc\/serenaandlily\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mybenefits.cc\/serenaandlily\/wp-json\/wp\/v2\/users\/243"}],"replies":[{"embeddable":true,"href":"https:\/\/mybenefits.cc\/serenaandlily\/wp-json\/wp\/v2\/comments?post=36"}],"version-history":[{"count":0,"href":"https:\/\/mybenefits.cc\/serenaandlily\/wp-json\/wp\/v2\/pages\/36\/revisions"}],"wp:attachment":[{"href":"https:\/\/mybenefits.cc\/serenaandlily\/wp-json\/wp\/v2\/media?parent=36"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nUnited Healthcare Medical Change Form<\/a>
\nUnited Healthcare Claim Form<\/a>
\nUnited Healthcare Pharmacy Reimbursement Claim Form<\/a>
\nUnited Healthcare Mail Order Pharmacy Reimbursement Claim Form<\/a>[\/et_pb_tab][et_pb_tab title=”Dental 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=”{}”]Guardian Dental Enrollment Form<\/a>
\nGuardian Dental Claim Form<\/a>[\/et_pb_tab][et_pb_tab title=”Vision 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
Guardian Vision Claim Form<\/a><\/p>\n
Mutual of Omaha Life and AD&D Enrollment Form<\/a>
Mutual of Omaha Life Claim Form (Spanish)<\/a>
Mutual of Omaha Disability Claim Form<\/a>
Mutual of Omaha Disability Claim Form (Spanish)<\/a>
Mutual of Omaha LTD Enrollment Form<\/a>
Mutual of Omaha LTD Claim Form<\/a>
Mutual of Omaha Voluntary Life Enrollment Form<\/a>
Mutual of Omaha Voluntary STD Enrollment Form<\/a>
Mutual of Omaha Voluntary STD Claim Form<\/a>
Mutual of Omaha Voluntary STD Claim Form Filing Instructions<\/a>
Mutual of Omaha Evidence of Insurability Form<\/a>
Mutual of Omaha Life Conversion Form<\/a>
Mutual of Omaha Life Portability Form<\/a>
Mutual of Omaha Proof of Death Claim Form<\/a><\/p>\n
\nFlexible Spending Plan Claim Form<\/a>
\nDirect Deposit Authorization Form<\/a>
\nDay Care FSA Receipt for Services<\/a>
\nLetter of Medical Necessity<\/a>[\/et_pb_tab][et_pb_tab title=”401(k) Forms” _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”]401(k) Auto Enrollment Notice<\/a>
\n401(k) Enrollment Form<\/a>
\n401(k) Beneficiary Designation Form<\/a>
\n401(k) Advice Questionnaire<\/a>
\n401(k) Newport Group Opt-Out Form<\/a>[\/et_pb_tab][\/et_pb_tabs][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"