FORMS & NOTICES

FORMS & NOTICES

FORMS

Below are important forms you may need for the future.

Proof of Loss - Life and AD&D
Life Insurance Portability vs Conversion
Life Conversion Application
How to File a Hospital, Critical Illness or Accident Claim Instructions
How to File a Hospital, Critical Illness or Accident Claim Instructions (Spanish)
Group Hospital Care Proof of Loss Claim Form
Accidental Injury Claim Form
Application for Portability of Accidental Injury
Application for Portability of Hospital Care Indemnity
Application for Portability of Critical Illness
Critical Illness Claim Form
Wellness Incentive Report of Claim
Accidental Death & Dismemberment
Affidavit of Current Marital Status
Affidavit of Spousal Health Care Coverage
Affidavit of Common Law Marriage
Allegiance Member Portal
CVScaremark Prescription Reimbursement Claim Form
Delta Dental Claim Form
EyeMed Claim Form
Allegiance Medical Paper Claim Form
Medical International Claim Flyer/FAQ

IMPORTANT NOTICES

Below are important notices that may affect you.

Annual Required Notices
Medicare Part D Creditable Notice - Megalodon Midco, LLC
2024 CHIP Notice
2024 Health Insurance Marketplace Notice
Cafeteria Plan Document
2023 Health & Welfare Benefit Plan SAR - Megalodon Midco, LLC
Wrap Document
Fremont Union 2023 401(k) Summary Annual Report
Non-Union 2022 401(k) Summary Annual Report
VC Steel Union 2023 401(k) Summary Annual Report
Warren Union 2023 401(k) Summary Annual Report

FEDERAL & STATE
EMPLOYMENT LAW 

Federal
Federal (Spanish)
Indiana
Kentucky
Michigan
Nevada
Ohio
Ohio - BWC Certificate of Coverage
Tennessee
Wisconsin
Texas
Texas Human Trafficking