Employee Forms

The forms below are commonly requested by our clients. If you can't find what you're looking for, please call us at 630-289-4410 so we can assist you.

Aetna

Aetna 2-50 EE Employee Enrollment Form Aetna 2-50 EE Employee Enrollment Form (763 KB)

Aetna 51+ EE Employee Enrollment Form Aetna 51+ EE Employee Enrollment Form (653 KB)

Aetna Prescription Mail Order Aetna Prescription Mail Order (1018 KB)

Aetna Protected Health Information Authorization Aetna Protected Health Information Authorization (467 KB)

Blue Cross & Blue Shield of Illinois

Blue Cross 2-150 Employee Enrollment Form Blue Cross 2-150 Employee Enrollment Form (986 KB)

Blue Cross Employee Change Form Blue Cross Employee Change Form (85 KB)

Blue Cross HMO Provider Selection Form Blue Cross HMO Provider Selection Form (89 KB)

Blue Cross Protected Health Information Authorization Blue Cross Protected Health Information Authorization (61 KB)

Humana

Humana 2-50 Employee Enrollment Form Humana 2-50 Employee Enrollment Form (971 KB)

Humana 51-99 Employee Enrollment Form Humana 51-99 Employee Enrollment Form (106 KB)

Humana Protected Health Information Authorization Humana Protected Health Information Authorization (117 KB)

United HealthCare

United HealthCare 2-50 Employee Enrollment Form United HealthCare 2-50 Employee Enrollment Form (567 KB)

United HealthCare 51-99 Employee Enrollment Form United HealthCare 51-99 Employee Enrollment Form (119 KB)


 
We have used Sullivan & Associates as our exclusive insurance agency for over 15 years. They take care of all our business and personal insurance needs. All the people there are easy to get along with and always available to help you in any way they can. We trust them explicitly.