SHIF Medical Plans
Find the most frequently used carrier forms you need right here - just click and print! For instance, claim forms are below if you paid for services out-of-pocket and need to be reimbursed; enrollment forms are included if you need to make a change to your plans.
SHIF Fillable Enrollment Form
SHIF Printable Enrollment Form
Aetna Medical Claim Form
Horizon BCBSNJ Claim Form
BeneCard Prescription Plans
Enrollment Form
Dependents to Age 31 Enrollment Form
Claim Form
Mail-Order Form
Delta Dental Plan
Enrollment Form
Claim Form
Waiver Option
Waiver of Health Benefits Coverage Form
FSA/Commuter Benefits Option
FSA Data Collection Worksheet
Commuter Benefits Payroll Deduction Worksheet
The Standard Disability Plan
Long Term Disability Claim Packet
Other
Request for Reimbursement of Eye Glasses / Lenses Form
Aetna Fitness Benefit Reimbursement Request Form
GSP Statement Form