Equitable Life

Tools

Hot Topics for Plan Administrators

Key Points to completing the Enrollment Form

BBD Online Information

Group Insurance Contribution Report

Administration Forms

Group Insurance Enrollment (Fillable) Original signature required at BBD offices.

Employee Report Form

Change of Name

Beneficiary Designation (Fillable) Original signature required at BBD offices.

Dependent Status Change (Fillable)

Partial Waiver (Fillable)

Reinstatement of Waived Benefits (Fillable)

Claim Forms

Disability Claim Forms:

Equitable Life - Short Term Disability Claim Form

Please contact your Account Manager or Client Service Representative for Life, ADD, or LTD claim forms.

Health and Dental Claim Form:

Equitable Life - Extended Health Claim Form

Equitable Life - Dental Claim Form

Payment Options

Pre-Authorized Payment Plan Form