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   Enroll_button
Online Enrollment Application – Online  Enroll_button
Online EOI  Application – Online  Enroll_button

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 Enroll_button


Transamerica – Change of Beneficiary Form 

Transamerica Agent Login


AD&D Enrollment Forms

AD&D Online Application  Enroll_button
AD&D PDF – Application
AD&D PDF- New Employee Cover

AD&D Portability Form

Short Term Disability Enrollment Forms

Sun Life Financial – 01-01-2020
Short Term Disability Application Kit
Short Term Disability Application Kit On-Line Enroll_button
Short Term Disability Claim Form – Sun Life
Short Term Disability Rate Grid – Sun Life

Sun Life Login – Agents Only

Long Term Disability Forms

Long Term Disability Application Online   Enroll_button
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   Enroll_button
Dental Reimbursement Application – PDF
Dental Claim Form – PDF
Dental Policy Booklet – PDF

Vision Forms

Vision Application – Online  Enroll_button
Vision Brochure
Vision Application
Vision Out of Network Claim Form

Vision – Out of Network Claim Form with Account Number  Enroll_button

Avesis – Customer Service800-584-4214

Change Forms

Discontinuation & Change Form Online  Enroll_button
Discontinuation & Change Form



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   Enroll_button

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  Enroll_button  Online

Application & Brochure for Sensible Benefits – PDF

Rates for Sensible Benefits

Employee Exit Forms & EFT Bank Draft Form

Sensible Benefits Conversion Application 


Online Sensible Benefits Application – Online  Enroll_button


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