All forms are in PDF format unless otherwise indicated.
Horizon BlueCard PPO
- Claim Form
- Coverage for Children (23 – 30 yrs old)
- HIPPA Authorization Form
- Health Insurance Continuation Form
ExpressScripts (Rx)
Horizon Dental Option Plan
Vision Plan
- Spectera Claim Form (Lay)
- VSP Claim Form (Clergy)
Lay Retirement Plan
- Rollover/Distribution Form
- In-Service Distribution (Age 59 ½) Form
- Hardship Distribution Request Form
- Rollover Contribution Form
MetLife Life & Disability
- Beneficiary Designation Form
- Supplemental Life Application *Microsoft Word file
- Life Insurance Continuation Election Form
- LTD Claim Form
Temporary Disability Plan
Employment Forms
- New Hire Form *Microsoft Word file
- Personal Information Change Form
- Healthcare Waiver Form