Forms

AIG

Affinity Insurance Group, Inc.

“Employee Benefit Specialists”

Anderson Office:  864-225-0655

 

Greenville Office: 864-963-9849

 

Email: info@affinityinsgrp.com

· BCBS 2-49 Membership App

· BCBS 50+ Membership App

· BCBS Grandfathered Attestation

· BCBS Individual App

· BCBS Bank Draft Form

Blue Cross Blue Shield

Blue Choice Health Plan

· BCHP MyChoice Individual App

· BCHP MyChoice Brochure.Rates

· BCHP Membership App

· BCHP Grandfathered Attestation

· CCP Employee App 2-19

· CCP Employee App 20-99

· CCP Employee App 100 +

· CCP Individual App

Carolina Care Plan

Companion Life

· Companion Membership App

· Companion Life Claim form

· Companion LTD Claim form

· Companion STD Claim form

Allstate

· Allstate Accident Claim Form

· Allstate Cancer Claim Form

· Allstate Critical Illness Claim Form

· Allstate Wellness Claim Form

Genworth (GE)

· GE Bank Draft Form

· GE Life Quick App

· GE Owner.Beneficiary Change Form

Guardian

 

· Guardian Dental Claim Form

· Guardian Enroll.Change Form

· Guardian Service Contacts

· Guardian Beneficiary Change Form

United Health Care

 

· United One Individual App

· United One Brochure

· United One Bank Draft Form

· United Employee App

Wellpath

 

· Wellpath Individual App

· Wellpath SC Enroll.Change Form

· Wellpath NC Enroll.Change Form

· Initial Notice Sample Letter

· Notification Sample Letter

· DOL Employee Guide

· DOL Employer Guide

COBRA