• Ameritas (group dental):
              Request for Service
              Dental Claim Form
              Employee Enrollment Form

  • Blue Choice of SC:
              Employee enrollment & change form
              Employee Health Questionnaire
              Health Benefits Claim form (non network)
              Rx Mail Order Form
              Benefits grid
              Directory of Approved Mammography providers
 
  • Blue Cross/Blue Shield of SC (group):
              Employee enrollment & change form
              Employee Health Questionnaire
              Health Benefits Claim Form
              Dental Claim Form
              2006 Preferred Drug List Brochure
              Mail Order Drug Form
              Mail Order Drug Brochure
              Rx Reimbursement Form
              Authorization to Disclose Health Info
             Other Health Coverage Questionnaire

  • Blue Cross/Blue Shield (individual):
             Individual Health Application
             Bank Draft Authorization (included in application)

  • Aetna Healthcare (group):
             Employee Enrollment Form (health)

  • American Medical Security (group):
             Employee enrollment form (dental)
             Authorization to Disclose Health Info
             Waiver of Group Coverage

  • Cigna Healthcare (group):
             Employee enrollment/change form (health)
             Medical Claim Form (for out of network)
             RX Reimbursement Form

  • Employee Benefit Corp (EBC):
             HRA Claim Form

  • Health Plan Administrators (individual):
             Apply Online

  • Humana (group):
             Employee enrollment form (health)

  • Principal Financial Group (Group life):
             Enrollment forms
             Health Questionnaire
 
  • US Social Security Administration 
             Benefit Statement Request

  • United Healthcare (group):
             Employee Enrollment Form (long form for new group)
             Employee Enrollment Form (short form for new hires)
             Medical Claim Form (for non network claims)
             Mail order Rx Form
             Rx Reimbursement Claim Form
             2008 Drug list

  • Misc:
            IRS Form 941 (revised to include Cobra prem credit) 
            Instructions for Cobra premium subsidy credit filing

R E S O U R C E   E Q U I T Y   G R O U P
Employee benefit and insurance solutions.....Since 1974
G r e e n v i l l e ,   S C
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