Forms & Information

Click the links below to find and download the document or form you need. Adobe Acrobat Reader is required to view and print these documents. Some of these documents are quite large and may require longer download times.

Disability Insurance

For New Members

Standalone Plans

Short Term Disability Plan Highlights
Long Term Disability Plan Highlights

Combination Plans

Basic Plan Highlights
Premier Plan Highlights
Premier Plus Plan Highlights

For Currently Enrolled Members

Please contact customerservice@FedAdvantage.com or call 866-973-6605 for assistance with the following:

Claim forms
Copy of your plan certificate / highlights
Change plans

Accident and Critical Illness Insurance

Find information and claim forms for your Accident and Critical Illness Insurance

General Information for The Hartford (effective 1/1/2018)

Accident Plan Benefit Highlights
Critical Illness Plan Benefit Highlights
Limitations & Exclusions

Claim Forms for the Hartford

Accident & Critical Illness Claimant Statement
Accident & Critical Illness Physicians Statement
Accident & Critical Illness Death Statement

Medical-Gap Insurance Claim Form

Medical-Gap Claim Form

Term Life Insurance

Currently there is not an open season for enrollment but active employees can contact Customer Service, 1-866-973-6605 for questions and forms.