Forms and publications
When printing forms to share with employees, also provide the SEBB nondiscrimination statement and language access notice.
On this page
Want to have SEBB materials delivered to your organization?
- Enrollment form 2022
- Change form 2022
- School Employee Enrollment Guide 2022
- Dependent verification: Policy 31-1
- Declaration of Tax Status form 2022
- Extended Dependent Certification form 2022
- Certification of a Child with a Disability form 2022
- Premium Surcharge Attestation Help Sheet 2022
- Premium Surcharge Attestation Change form 2022
- Spousal Plan Calculator (print version) 2022
- Spousal Plan Calculator (interactive tool) 2022
Find additional forms and documents on HealthEquity's website.
- Life and AD&D Administration Manual
- Certificate of Coverage (COC) (at least 630 hours)
- Certificate of Coverage (COC) (less than 630 hours)
- MetLife's MyBenefits portal
- Employees can use the MyBenefits portal to add/update beneficiaries and elect/change supplemental coverages.
- MetLife Enrollment/Change form
- Beneficiary Designation form
- Cancellation of supplemental life and AD&D insurance form 2022
- Notification of enrollment extension for supplemental life form 2022
- Privacy notice
- LTD Administration Manual
- Plan Booklet 2022
- Enrollment/Change form 2022
- Evidence of Insurability
- Claim packet
- LTD error or discrepancy correction form 2022
- Midyear Enrollment form 2022
- FSA and DCAP Claim form 2022
- Change in Status form
- School Employment Transfer form
- FSA Termination form
Find additional forms and documents on Navia's website.
- Continuation Coverage Election Notice 2022
- Initial notice of COBRA and Continuation Coverage rights 2022
- Retiree Enrollment Guide 2022