Forms

		Health Plan New Employees CIGNA for 2008 Plan Descriptions Find a Network Provider Forms Filing a Claim Prescriptions Lab Work Employee Assistance Program Changing Benefits Pre-Existing Condition Limitation Coordinate with Another Employer's Plan Part-Time Benefits COBRA HIPAA Flexible Benefit Program Plan Documents FAQ

• All Claim Forms and Instructions

• Prescription Mail-Order Form (242 KB) & Instructions (14 KB)

• Disability Insurance:

• Online Enrollment Request
  • Refer to printed enrollment materials for login instructions.
• Brochure and Paper Application Form (145 KB)
• Disability Plan Rates:
  7/7 elimination period (46 KB)
  14/14 elimination period (46 KB)
  30/30 elimination period (46 KB)
  90/90 elimination period   (46 KB)

• Optional Life Insurance:

• Application Form (153 KB)
• Health Questionnaire (136 KB)
• You must complete both the application form and health questionnaire if you are applying for optional life insurance either 1) after your first 60 days of employment, or 2) if you are a new employee requesting more than $150,000.
• Return completed forms to the Plano ISD Benefits office.

• Cancellation of Life Insurance or Disability Insurance (10 KB)