The Standard Forms
The Standard Life and Disability
Links
The Standard Life and Disability Access
Forms and Documents
MedEx Brochure
Medex Card English
Medex Card Spanish
Life Claim Packet
Waiver of Premium Claim Packet
Terminal Illness Benefit Claim Form - Basic Life and/or Additional Voluntary Life Insurance
Group Life Portability Application
Group Life Conversion Application for NM, TX, AZ, CO
LTD Claim Packet
Evidence of Insurability Form (Proof of Good Health)
Specified Disease Claim Form - Basic Life Insurance
Basic and Additional Life Certificate
Long Term Disability Certificate
Tax Guide to Employee Disability Benefits
Group Life Portability Application
(Not available for retiring employees over age 65 or employees who did not have group life coverage for at least 12 months.)
Group Life Conversion Application for NM, TX, AZ, CO
© 1999 New Mexico Public Schools Insurance Authority
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