Useful Insurance Forms

Health

• Census
• 125
• PrimeHRCobra
• PrimeFlex (pop & FSA)
• Making Sense of HRAs and HSAs
• HSA Road Rules

Enrollment Applications

• Aetna
• Humana 2-9
• Humana Fl 10-99
• BCBS of Florida
• BCBS of Georgia
• CompBenefits
• Delta Dental
• Florida Combined
• United Healthcare
• Vista

Workers' Compensation

• ERM-14
• Instructions for ERM-14
• Worker's Comp Pre Qualification
• Safety Program Premium Credit Application
• Safety Credit Sample Manual
• Drug Free Premium Credit Application
• Drug Free Sample Manual
• DWC-250 Exemption
• DWC-250 Instructions

General Liability / Property / Commerical Auto / Umbrella

• Questionnaire   - for quote

Employee Compliance

• W-4
• I-9

 

 

 

 

 

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