All forms are in PDF format unless otherwise indicated.
Horizon Blue Cross Blue Shield
- Health Insurance Claim Form
- Coverage for Children (to age 30)
- HIPPA Authorization Form
- Health Insurance Continuation Form
- Health Insurance Waiver Form
ExpressScripts (Rx)
Horizon Dental Option Plan
Vision Plan
- Spectera Claim Form (Lay)
- VSP Benefit Summary (Clergy)
Lay Retirement Plan
- 401(a) Rollover Contribution Form
- 401(a) Age 59 ½ In-Service Distribution Form
- 401(a) Hardship Distribution Form
- 401(a) Termination / Retirement Distibution Form
- 403(b) Loan Application
- 403(b) Age 59 ½ In-Service Distribution Form
- 403(b) Termination / Retirement Distribution Form
- 403(b) Enrollment Kit
MetLife Life & Disability
- Beneficiary Designation Form
- Supplemental Life Application (PDF) | WORD document
- Life Insurance Continuation Election Form
- Long Term Disability Claim Form
- Life Insurance Claim Form
Temporary Disability Plan
Employment Forms
- New Hire Form (PDF) | (WORD document)
- Personal Information Change Form (PDF) | (WORD document)
- Healthcare Waiver Form
Retirement