Voya beginning 2026

• How to File a STD Claim 2026
  • Employees have the option to either email the paper claim form back at STDClaims@voya.com or send it to our address on the form
    
• Paper Claim Form 2026 The paper claim form must include:
  • Employee details (name, SSN, contact information)
  • Employer information
  • Date last worked and Date of Disability
  • Medical certification from the healthcare provider
  • Include all required information and medical certification to avoid delays.
  • Direct deposit setup will be requested during the review process for approved claims.

Aflac through 2025

• AFLAC Forms Library
• AFLAC Short Term Disability Claim Form

• Long Term Disability Evidence of Insurability (EOI) for Late Entrants
• Start a claim online use group number 68098-2LTD2011
• Voya Forms Library – Choose Disability
• Choose
  • Employee Claim Form
  • Employer Claim Form
  • Physician Claim Form

• EOI -Evidence of Insurability
• Notice of Death Form
• Beneficiary Statement
• PORT Form with Rates
• CONVERSION Form with Rates

Empathy Support for Group Life Insurance Beneficiaries
Beneficiaries will be invited to take advantage of this program via the app or website during the claims process. They can visit join.empathy.com/securian or download the Empathy app and use access code: emp-securian.

Typically, Out of Network Providers will file with the carrier, simply ask!

• Vision Claim Form – BCBS Out-of-Network
• Dental Out of Network Claim Form– MetLife Dental Out-of-Network

• AFLAC Forms Library
• AFLAC Cancer Claim
• AFLAC Cancer Wellness Benefit Claim Form
• AFLAC Accident Claim
• AFLAC Accident Wellness Benefit Claim Form
• AFLAC Waiver of Premium when disabled
• AFLAC Life Claim Form
  • Aflac Life Claim Physician Statement (claim within 2 years of issue)
• AFLAC Life Service Form – Changes
• STD Change Form
• Cancellation Form

• Voya Claims Library for all current forms/needs
• File your claims Online- Create an account for wellness, critical illness or hospital claims
• Critical Illness
  Use Group Number 68098-2CCI & Account Number 0001
• Hospital
  Use Group Number 68098-2HI & Account Number 0001
• Wellness Claims  File Wellness Online
  Use Group Number 68098-2CCI for Critical Illness & Account Number 0001

Portability for those employees leaving The School System

• Critical Illness Port Rates – Compass Port Form – Privacy Notice

• MedCom Forms Library – Pick the one you need!
• MedCom Flex Claim Form
• MedCom Dependent Day Care Receipt
• MedCom Flex Direct Deposit Form
• MedCom Flex Spouse/Dependent Card Request Form
• MedCom Flex Family Status Change Form
• MedCom Flex Regular Recurring Expense Claim Form

• Individual Shenandoah Life Change Form (Includes Beneficiary Changes)
• Individual Shenandoah Life Lost Policy Form
• Individual Shenandoah Life Cash Surrender Form
• Shenandoah Life Claim Packet- Prosperity
• Trustmark Beneficiary Change Form or Service Form
• Trustmark Life Claim or File a Claim | Trustmark (trustmarkbenefits.com)
• Trustmark Portal Instructions
• Unum Online E-Sign Policy Requests
• Unum Life Change Form (Includes Beneficiary Changes)
• Unum Life Application 
• Unum Life Claim