Authorization to Release Health-Related Information | Authorize The Standard to release dental and/or vision insurance information to a designated recipient. | Download |
Beneficiary Designation Form (All states except NY) - Agility | Use this form to designate beneficiaries for an insurance plan issued in all states except New York (Agility only). | Download |
Beneficiary Designation Form (NY) - Agility | Use this form to designate beneficiaries for an insurance plan issued in the state of New York (Agility only). | Download |
Dental Claim | Use this form to report a treatment plan and to initiate a dental claim. | Download |
Life Claim Packet (All states except NY) - Agility | Use this packet to file a claim for a Life insurance plan issued in all states except New York (Agility only). | Download |
Life Claim Packet (NY) - Agility | Use this packet to file a claim for a Life insurance plan issued in the state of New York (Agility only). | Download |
Long Term Disability Claim Packet (All states except NY) - Agility | Use this packet to file a claim for a Long Term Disability plan issued in all states except New York (Agility only). | Download |
Long Term Disability Claim Packet (NY) - Agility | Use this packet to file a claim for a Long Term Disability plan issued in the state of New York (Agility only). | Download |
Short Term Disability Claim Packet - Agility | Use this packet to file a claim for a Short Term Disability plan in all states except New York (Agility only). | Download |
Request for Group Life Conversion Materials | Use this form to convert group life insurance coverage to an individual life insurance policy. | Download |
VSP Vision Out of Network Claim | Use to request out of network eye care expense reimbursement. | Download |