Forms

Listed below are a few of the common forms that you may need!

Small Group Application
MetLife Disability and Life Application


Individual Application
Healthy Discount Questionnaire
Underwriting Authorization Form


Individual Application with Cover Sheet
Individual Coverage Change Form
Individual Transfer Application
Bank Withdrawal Authorization
Member Claim Form

Small Group Application
Small Group Waiver of Coverage Form


Individual Application with Cover Sheet
Policy Change Request
Add Newborn Form
Bank Withdrawal Authorization
Accident Report

Small Group Application
Small Group Waiver of Coverage Form


Individual Application Cover Sheet
Bank Withdrawl Authorization Form

Small Group Application
Release of Information Form
Waiver of Coverage Form


Enrollment/Change Application
Claim Form


Enrollment Application
Claim Form


Enrollment Application



For more information:
Insurance Specialists, Inc.
P.O. Box 4962
121 E. 39th, Suite A
Boise, ID 83711 US
Email: info@idahoinsurancespecialists.com
(208) 377-1378
(800) 266-1378
Fax: (208) 378-9411

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