Group Insurance Service Center, Inc. Online Forms

The following forms are in .pdf format and may be printed and faxed back to us:

	Application For Group Coverage

	General Notice of Pre-Exist

	Medical Claim Form

	Dental Claim Form

	Employee Change Form

	Flexible Benefit Enrollment Form

	Flexible Spending Plan Claim Form

	Cobra Notification

	Report of Changes

1-800-242-4472