May Insurance Services, Inc.

COMPANION
www.companionlife.com

Enrollment Guidelines (before you look for a form - please check to see what forms you need by clicking on this link to the Companion website and their Enrollment Guidelines)

Application (employee) 95206 9/06 (used for all products unless otherwise noted)
Claim Forms
     Dental Claim Form 95045
       Life Claim Form
     STD Claim Form 11/06
Deductible Credit Form 2042 3/02
Dental by Design Brochure (10+ group) 95177 8/27/09
Dental by Design  Employer Application 95187 8/09
Dental by Design Employer Application MAC 11/06
Dental Cents Brochure (group 2-9) 95067 5/19/09
Dental Cents Employer Application 95708 4/09
DenteMax FAQ
GLOBAL Dental 95398 9/14/09
Hearing Services Plan 95318 6/06
Health Statement 97001 1/07
Licensing
       Commission Schedule 4/10
       EFT for agent commissions 8/95
       Licensing Addendum 95065 6/06

Life and STD Brochure (group 2-9) 95074
Life and STD Employer Application (group 2-9) 95082 12/07
LTD Brochure (group 2-9) 95995 2/04
Life Conversion Form
LTD Employer Application (group 2-9) 95997 10/05
Online Enrollment Instructions 10+ (call MIS for Excel spreadsheet)
Shenandoah Life - SCC letter
Shenandoah Life - Companion letter
Vision by Design Brochure 95283 6/07
Vision by Design Discount Brochure 95311 3/06
Vision by Design Employer Application (10+) 95224
Voluntary Dental Brochure 95970 11/08
Voluntary Dental Employer Application 95990 10/05
Voluntary Dental Employer Application MAC (network) 95990 11/06
Voluntary Dental MAC Rates 95296 12/07
Voluntary Dental Rates 95972 11/07
Voluntary Group Term Life Brochure 95975 8/07
Voluntary Group Term Life Employer Application GTL 803 3/04
Voluntary LTD Brochure 95967 8/06
Voluntary LTD Employer Application 11383 12/06
Voluntary STD Brochure 95960 5/11
Voluntary STD Employee Application 95982 3/08
Voluntary STD Employer Application 11383 12/06