Groupspecialtybenefits.com

Administration Manual

WebPremium for Life and AD&D coverage is based on the full benefit amount. The premium rate is expressed per $1,000 of benefit. Example: Benefit equals $15,000 with a rate of $0.20 …

Actived: 8 days ago

URL: https://www.groupspecialtybenefits.com/pdf/gsb/admin-guides/SB-Administration-Manual.pdf

Specialty Benefits Guide to Self-Administration

WebBenefits Manager is your one-stop resource for administering your group benefits by providing the ability to: Access group policies and documents. Initiate the EOI census for …

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Critical Illness Claim Form

WebPage 2 of 12 R010122 I Z6301_BCBSM Critical Illness Claim Form Return to Dearborn Life Insurance Company at: Attention: Claims Department P.O. Box 7070

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Critical Illness Wellness Benefit Claim Form

WebFraud Notices Administrative Office: 701 E. 22nd Street, Lombard, Illinois 60148 Page 1 of 2 R010122 I Z6291_LC_BCBSM The laws of some states require us to furnish you with …

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Group Producers Corner Registration

WebAccess to Producers Corner provides you with up-to-date product information and commissions information. You must be authorized to access our online services. For …

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Enrollment and Change Form

WebEnrollment and Change Form Administrative Office: 701 E. 22nd Street, Lombard, Illinois 60148 9-552-0122 MI Page 1 of 3 R010122 I Z5222_MI Enrollment forms must be …

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Accident Claim Form

WebPage 2 of 9 R010122 I Z6303_BCBSM Accident Claim Form Return to Dearborn Life Insurance Company at: Attention: Claims Department P.O. Box 7070

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Application to Convert Group Insurance

WebComplete Part 2 of this conversion application. Be sure your Employer has completed Part 1. Premium rates and instructions are shown on the reverse side. Mail the completed …

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Specialty Benefits Guide to List Billing

WebGuide to List Billing Ancillary Products Group Customer Service: 855-649-9648 Membership Changes: • Submit an Inquiry: service.groupspecialtybenefits.com

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Life Insurance Claim Form

WebFraud Notices Administrative Office: 701 E. 22nd Street, Lombard, Illinois 60148 Page 1 of 2 R010122 I Z6291_LC_BCBSM The laws of some states require us to furnish you with …

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Group Short-Term Disability Claim Form

WebFraud Notices Administrative Office: 701 E. 22nd Street, Lombard, Illinois 60148 Page 1 of 2 R010122 I Z6291_LC_BCBSM

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Group Life Waiver of Premium Claim Form

WebFraud Notices Administrative Office: 701 E. 22nd Street, Lombard, Illinois 60148 Page 1 of 2 R010122 I Z6291_LC_BCBSM The laws of some states require us to furnish you with …

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Accident / Critical Illness Wellness Benefit Claim Form

WebFraud Notices Administrative Office: 701 E. 22nd Street, Lombard, Illinois 60148 Page 1 of 2 R010122 I Z6291_LC_BCBSM The laws of some states require us to furnish you with …

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Dearborn Life Insurance Company

WebInsurance products and services provided by Dearborn Life Insurance Company, 701 E. 22nd St., Lombard, IL 60148 SB800364.0122 FACTS WHAT DOES DEARBORN LIFE …

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