Beneficiary Change Forms
- • Aflac Change Form Deduction Code 0219
- • Hartford GTL/AD&D Beneficiary Form Deduction Codes 0208 and 0237
- • LINA NYL GTL Beneficiary Change Form Deduction Code 0262 underwritten by LINA
- • Reliance Standard Beneficiary Form Deduction Code 0217
Claim Forms
- • Aflac Accident Advantage Injury Claim Form Deduction Code 0219
- • Aflac Accident Advantage Wellness Claim Form Deduction Code 0219
- • Aflac Cancer Claim Form Pre-Tax Benefit Code 0102
- • Aflac Cancer Wellness Claim Form Pre-Tax Benefit Code 0102
- • Aflac Continuing Disability Claim Form Deduction Code 0219
- • Aflac Critical Care Protection Claim Form Deduction Code 0219
- • Aflac Hospital Intensive Care Claim Form Pre-Tax Benefit Code 0102
- • Aflac Initial Disability Claim Form Deduction Code 0219
- • Cigna Hospital Supplement Claim Form Pre-Tax Benefit Code 0101
- • DOT Hartford Long-Term Disability Claim Form Deduction Code 0434 (DOT Only)
- • Hartford Accidental Death & Dismemberment Claim Form Deduction Code 0442
- • Hartford Life Claim Form Code 0208
- • LINA NYL Disability Claim Form Deduction Code 0300 Capital DI underwritten by LINA
- • LINA NYL Group Term Life Claim Form Deduction Code 0262 underwritten by LINA
- • LINA NYL Term Life Accelerated Benefits Claim Form Deduction Code 0262 underwritten by LINA
- • LINA NYL Term Life Accidental Dismemberment Claim Form Deduction Code 0262 underwritten by LINA
- • LINA NYL Term Life Waiver of Premium Claim Form Deduction Code 0262 underwritten by LINA
- • ManhattanLife Critical Illness Claim Form Deduction Code 0206
- • ManhattanLife Critical Illness Health Screening Benefit Form Deduction Code 0206
- • ManhattanLife Critical Illness Lifestyle Reward Claim Form Deduction Code 0206
- • Reliance Standard Claim Form Deduction Code 0217
Conversion Forms
- • Cigna Hospital Supplement 30/20 & PPP & SIS Continuation Form Pre-Tax Benefit Code 0101
- • Cigna Hospital Supplement 365+ Continuation Form Pre-Tax Benefit Code 0101
- • DOT Hartford Accidental Death & Dismemberment Conversion Form Deduction Code 0237
- • Hartford Group Term Life Conversion Form Deduction Code 0208
- • Hartford Long-Term Disability Conversion Form Deduction Code 0434 (DOT Only)
- • Reliance Standard Portability Request Deduction Code 0217
