• 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