Forms Quick Link
From WEA Trust Insurance Coordinators Handbook
COBRA
Notice of Your Continuation Coverage Rights Under COBRA
Dental
Dental Evidence of Insurability
Dental Proof of Involuntary Loss
Domestic Partner
Designation of Domestic Partner for WEA Trust Group Plans
Enrollment
Enrollment Form
Important Notice About Timely Enrollment
Health
Loss of Health Coverage
Life
Group Life Insurance Evidence of Insurability
Long Term Care
Evidence of Insurability for Group Long Term Care
Long Term Disability
Evidence of Insurability for Long Term Disability
Miscellaneous
Supply Requisition Form
Point of Service
Primary Care Provider Selection Form
Short Term Disability
Enrollment Form for Short Term Disability Plans
Evidence of Insurability for Short Term Disability Plans
Tax-Sheltered Annuity Program
Address/Name Changes
Contribution Limit Calculation Form
Group Enrollment and Remittance Data
TSA-403(b) Salary Reduction Agreement
403(b) Tax-Sheltered Annuity (TSA) Application
Transmittal Report
Transmittal Report
Trust Advantage
Trust Advantage Payroll Deduction Authorization
Worker's Compensation
Employer's First Report of Injury or Disease
