CareAmerica forms

Group Term Life:

Group Term Life Overview of Benefits. CAM15647

Group Term Life Flyer. Producer guide for employer groups of 2-9 employees. CAM15393

Waiver of Premium Claim Form for Group Life. CAM1182

Group Term Life Claim Form CAM1180

Beneficiary Change Request Form for Group Life. CAM1165

Dismemberment Claim Form for Group Life. CAM1181

CareAmerica Beneficiary Affidavit for Group Life. CAM17685

Statement of Domestic Partnership CAM15734


Individual Term Life:

Beneficiary Change Request Form for Individual Term Life. CAM1165

Individual Term Life Claim Form CAM1180


Short-Term Health:

Short-Term Health Claim Form CAM1057

CareAmerica Appeals Packet. Short-term health appeals and grievances, information and forms

Third Party Authorization for Disclosure of Personal & Health Information C-15625-CAM (6-04)

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