Decatur County Board of Education
Open Enrollment 2021 Summary and Links
New Teacher Benefit Book
Open Enrollment Summary
Benefit Presentation – Powerpoint in PDF
Employee Benefit Forms Below:
Group Term Life Insurance – Policy # VG-187392
Group Term Life Certificate – Print Certificate
Group Term Life Enrollment Forms
Group Term Life Application with EOI
Group Term Life Enrollment Form
Group Term Life EOI Form
Group Term Life Change Form
Group Term Life Portability Form
Group Term Life Summary of Benefits
Online Enrollment Forms for Group Term Life
Online Life Increase App Form Online 
Online Enrollment Application – Online
Online EOI Application – Online
Group Term Life Other Change & Service Forms
Group Online Certificate Copy
Claim Form
Whole Life Insurance
Whole Life Application
Whole Life Summary of Benefits with Rates
Whole Life Rate Sheet 25-100 N/S
Whole Life Rate Sheets All
Whole Life Flyer
Whole Life Rates – $15,000 – $20,000 – $25,000
Whole Life Application On Line
Transamerica – Change of Beneficiary Form
Transamerica Agent Login
AD&D Enrollment Forms
AD&D Online Application
AD&D PDF – Application
AD&D PDF- New Employee Cover
Short Term Disability Enrollment Forms
Sun Life Financial – 01-01-2020
Short Term Disability Application Kit
Short Term Disability Application Kit On-Line
Short Term Disability Claim Form – Sun Life
Short Term Disability Rate Grid – Sun Life
Long Term Disability Forms
Long Term Disability Application Online
Long Term Disability Application with EOI Form
Long Term Disability EOI Form
Long Term Disability Certificate
Long Term Disability Claim Form
Long Term Disability Waiver Form
Dental Reimbursement Forms
Dental Reimbursement Application – Online
Dental Reimbursement Application – PDF
Dental Claim Form – PDF
Dental Policy Booklet – PDF
Vision Forms
Vision Application – Online
Vision Brochure
Vision Application
Vision Out of Network Claim Form
Vision – Out of Network Claim Form with Account Number
Avesis – Customer Service – 800-584-4214
Change Forms
Discontinuation & Change Form Online
Discontinuation & Change Form
DO NOT USE BELOW – OLDER FORMS
Universal Life – Not Active Below
Universal Life – Applications & Quotes
Symetra Universal Life Quote – Click here
Symetra Life Cover Description
Symetra Life – Premium Summary by Ages
Symetra Life Application
Symetra Life Application On Line
Symetra Life Children’s Term Life Application
Symetra Universal Life Application – Online
Universal Life – Change Forms
Symetra Life – Billing Change Form Request
Symetra Life – Change of Beneficiary Form Request
Symetra Life – Life Brochure
Symetra Life – New Teachers Cover for UL Life
Whole Life – Sensible Benefits – 11-01-2020 Close Date
Whole Life & 10 & 20 Year Term Life Online
Application & Brochure for Sensible Benefits – PDF
Employee Exit Forms & EFT Bank Draft Form
Sensible Benefits Conversion Application
Online Sensible Benefits Application – Online
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