Georgia Benefit Counselors

Forms

 Please fill out the form needed and fax or email to GA Benefit Counselors.

Fax: 770-592-8696

Email: anitahorton@gabenefitcounselors.com

Colonial Life

Request for Service Form

Universal Claim Form

Change of Beneficiary Form

Conversion Form

Health Claims over One Year

Census Template

Guardian

Short Term Disability Form

Long Term Disability Form

Evidence of Insurability

Dental Claim Form

Vision Claim Form

Change of Beneficiary Form

FSA Status Change Form

Blue Cross Blue Shield

Get A Quote- Individual 

Individual Medical Application

Individual Dental Application

Aetna/Coventry

Individual Application

Coventry Individual Application

Cigna

Medical Claim Form

Dental Claim Form

Vision Claim Form

Pharmacy Claim Form

Short Term Disability Claim Form

Long Term Disability Claim Form