Benefit Ability
1-877-840-8587 • 561-840-8585
Only search Benefit Ability website
Downloads

Below you will find some of our most requested insurance forms. Click on a link below to download the form. If you do not see the form you need, please contact us.

CENSUS AND QUESTIONNAIRES

• Census Template (PDF size 280kb)

• Underwriting Questionnaire (PDF size 89kb)



BLUE CROSS BLUE SHIELD

• Health & Financial Enrollment Application (PDF size 68kb)

• Health & Financial Change Application (PDF size 248kb)

• Major Medical/Comprehensive Claim Form (PDF size 429kb)

• Dental Claim Form (PDF size 145kb)



UNITED HEALTHCARE

• Enrollment/Change Notification Form (PDF size 48kb)

• Health Insurance Claim Form (PDF size 24kb)

• Dental Claim Form (PDF size 145kb)



VISTA

• Enrollment Application for Small Groups (PDF size 50kb)

• Enrollment Application for Large Groups (PDF size 52kb)

• Member Status Change Form (PDF size 78kb)

• Dental Claim Form (PDF size 145kb)



AETNA

• Florida Small Group Business Employee Enrollment/Change (PDF 60kb)

• Medical Benefits – Claim Instructions (PDF size 332kb)

• Dental Claim Form (PDF size 145kb)

 

 


Construction
 INDUSTRY EXPERIENCE: Construction

BenefitAbility LLC
1250 Old Dixie Highway, Suite 1, Lake Park, Florida 33403 • Toll-free: 877-840-8587 • 561-840-8585 • Fax: 561-840-8570
Email: Inquiry@BenefitAbility.com

Home | Services | Account Management | About Us | Downloads | Request Proposal | Location