Solving your employee benefits puzzle

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    Hood County

    Benefit Information

    • 2020-2021 BENEFIT SUMMARY
    • 2020-2021 Benefit Election Form
       
    • Accident Plan - Personal Accident Indemnity Delivery (PAID) - Central United Life (Manhattan Life)
      • Accident Brochure​
      • Accident Premiums
      • Accident Enrollment Application
    • Cancer Plan Brochure & Enrollment Application - TransAmerica Insurance Company
    • Dental - Ameritas
      • Dental High Plan
      • Dental Low Plan
      • Dental Enrollment Form
    • ​Disability Plan - America United Life (AUL)
      • ​Disability Plan Enrollment Application
      • Disability Plan Enrollment Evidence of Insurability (EOI)
      • ​ComPsych Information​
    • Term and Supplemental Life - Dearborn National
      • Group Term Life
      • Voluntary Life​ Evidence of Insurability (EOI)
      • Voluntary Life Application
      • Voluntary Life Premiums
      • Voluntary Life Portability Application
         
    • NBS Flexible Spending Account (FSA)

    Claim Forms

    • Accident Claims - Central United Life (Manhattan Life)
      • Accident Claim Fax Cover Sheet​
      • Accident Claim Form
    • Dental Claims - Ameritas 
      • Dental Claim Form (English)​
      • Dental Claim Form (Spanish)
    • Disability Claims - OneAmerica (Click on Employee Benefits Claims)
    • ​Term and Supplemental Life Claims - Dearborn
       
    • NBS FSA Dependent Care Claim Form
    • NBS FSA Health Care Claim Form
    • NBS Direct Deposit Form