Online Forms | GPM - Group Insurance Benefits

To our valued clients, members, business partners, and advisors

Each new year presents an opportunity to renew our commitment to your well-being.
As we step into 2025, we do so with gratitude for the bonds of trust that unite us.

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Member: MY CLAIMS

Medical Claim Form

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Flexible Health Care Spending Account Claim Form

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Dental Claim and Treatment Predetermination Form

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Short Term Disability Claim, Employee Form

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Member: MY FILE

Employee Information Modification Form (B)

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Direct Deposit Authorization Form

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Beneficiary Modification Form

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Irrevocable Beneficiary Consent to Change Form

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Power of attorney

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Plan Administrator

Enrolment Form

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Short Term Disability Claim - Plan Administrator Form

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Multiple Employee Information Modification Form (A)

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Health Service Provider

Short Term Disability Claim – Attending Physician Form

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