Forms and Guides

Employer Stop Loss:
Application
Aggregate Claim
Disclosure Instructions
Monthly Aggregate Report
Specific Claim

HM Care Advantage:
Claim
Employee Enrollment
Group Application Dental/Rx
Group Application Medical
New Business Transmittal
Proposal Request


HM Benefits Administrators:
Retiree Claim Forms

HM Worksite Advantage:
Accident
Cancer
Critical Illness
Disability Income
Supplemental Hospital Indemnity
Term Life
Universal Life/Whole Life


Federal and Tax Forms:
W-9 Forms
Tax Brochures


Other Forms:
Reimbursement Direct Deposit Authorization