Claims Forms

Click a logo below to find your forms.

<img data-lazy-fallback="1" decoding="async" width="375" height="122" src="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/bc_standard_logo.png?resize=375%2C122&ssl=1" alt="" title="bc_standard_logo" srcset="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/bc_standard_logo.png?w=375&ssl=1 375w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/bc_standard_logo.png?resize=300%2C98&ssl=1 300w" sizes="(max-width: 375px) 100vw, 375px" class="wp-image-50" data-recalc-dims="1" />

<img data-lazy-fallback="1" decoding="async" width="1080" height="608" src="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=1080%2C608&ssl=1" alt="" title="Allstate_Logo4" srcset="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?w=1280&ssl=1 1280w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=300%2C169&ssl=1 300w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=1024%2C576&ssl=1 1024w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=768%2C432&ssl=1 768w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=1200%2C675&ssl=1 1200w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=1080%2C608&ssl=1 1080w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=980%2C551&ssl=1 980w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Allstate_Logo4.jpeg?resize=480%2C270&ssl=1 480w" sizes="(max-width: 1080px) 100vw, 1080px" class="wp-image-53" data-recalc-dims="1" />

<img data-lazy-fallback="1" decoding="async" width="565" height="212" src="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Ameritas_Bison_Logo_tag.png?resize=565%2C212&ssl=1" alt="" title="Ameritas_Bison_Logo_tag" srcset="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Ameritas_Bison_Logo_tag.png?w=565&ssl=1 565w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Ameritas_Bison_Logo_tag.png?resize=300%2C113&ssl=1 300w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Ameritas_Bison_Logo_tag.png?resize=480%2C180&ssl=1 480w" sizes="(max-width: 565px) 100vw, 565px" class="wp-image-57" data-recalc-dims="1" />

<img data-lazy-fallback="1" decoding="async" width="1080" height="608" src="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=1080%2C608&ssl=1" alt="" title="Oxide-Design-Assurity-Logo-Life" srcset="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?w=2688&ssl=1 2688w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=300%2C169&ssl=1 300w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=1024%2C576&ssl=1 1024w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=768%2C432&ssl=1 768w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=1536%2C864&ssl=1 1536w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=2048%2C1152&ssl=1 2048w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=1200%2C675&ssl=1 1200w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=1080%2C608&ssl=1 1080w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=1280%2C720&ssl=1 1280w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=980%2C551&ssl=1 980w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?resize=480%2C270&ssl=1 480w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Oxide-Design-Assurity-Logo-Life.jpeg?w=2160&ssl=1 2160w" sizes="(max-width: 1080px) 100vw, 1080px" class="wp-image-54" data-recalc-dims="1" />

<img data-lazy-fallback="1" decoding="async" width="1080" height="564" src="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=1080%2C564&ssl=1" alt="" title="CL-2014-logo-NOtag-2color-RGB" srcset="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?w=1200&ssl=1 1200w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=300%2C157&ssl=1 300w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=1024%2C535&ssl=1 1024w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=768%2C401&ssl=1 768w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=1080%2C564&ssl=1 1080w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=980%2C512&ssl=1 980w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/09/CL-2014-logo-NOtag-2color-RGB.jpeg?resize=480%2C251&ssl=1 480w" sizes="(max-width: 1080px) 100vw, 1080px" class="wp-image-581" data-recalc-dims="1" />

<img data-lazy-fallback="1" decoding="async" width="1080" height="393" src="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=1080%2C393&ssl=1" alt="" title="Transamerica-Logo-2color" srcset="https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?w=1584&ssl=1 1584w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=300%2C109&ssl=1 300w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=1024%2C372&ssl=1 1024w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=768%2C279&ssl=1 768w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=1536%2C559&ssl=1 1536w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=1200%2C436&ssl=1 1200w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=1080%2C393&ssl=1 1080w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=1280%2C465&ssl=1 1280w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=980%2C356&ssl=1 980w, https://i0.wp.com/unifiedemployeebenefits.com/wp-content/uploads/2021/08/Transamerica-Logo-2color.png?resize=480%2C175&ssl=1 480w" sizes="(max-width: 1080px) 100vw, 1080px" class="wp-image-49" data-recalc-dims="1" />

Our Office

1640 S 70th St #200,

Lincoln, NE 68506

Contact Us

(402) 904-3026
ian@unifiedemployeebenefits.com

Office Hours

Mon-Fri: 7:00 am – 4:00pm
Sat-Sun: By Appointment

Follow Us