Employee Forms

In addition to making official forms available in focused areas of the benefit directory, all forms offered are available here to expedite your retrieval of those forms. Download the Acrobat Reader to your computer to view forms.

New forms will be added and updated as appropriate.

MEDICAL PLAN
	F itness Participation Record BCBS-Claim Form Plan A Summary of Benefits and Coverage Plan A Regional Summary of Benefits and Coverage Plan B Summary of Benefits and Coverage Plan B Regional Summary of Benefits and Coverage Plan C Summary of Benefits and Coverage
DENTAL PLAN
	Delta Claim Form JM Smith Benefit Summary Basic Dental Plan JM Smith Benefit Summary Premium Dental Plan
401K PLAN
	Participation Payout Notice Managing Your Account wiht Net Benefits Incoming Rollover Contribution Application
VOLUNTARY BENEFITS
	ALLSTATE CANCER Allstate Claim Form Allstate Group Accident Claim Form Allstate Policy Change Form Allstate Bank Draft Authorization Allstate Cancer Brochure (NC) Allstate Cancer Brochure (SC, GA, AR) Allstate Group Accident Brochure (SC, NC) TRANSAMERICA ACCIDENT Transamerica Claim Form Transamerica Bank Draft Authorization Transamerica Policy Service Form Transamerica Wellness Instructions Transamerica Accident 1 Brochure Transamerica Accident 2 Brochure Transamerica Accident Comparison 1 2 TRANSAMERICA LIFE Transamerica Life Needs Analysis Transamerica Policy Service Form Transamerica Bankdraft Authorization Transamerica Death Claim Form
J M Smith Corporation COMPANY FORMS
	2019 Change of Status Form
	Direct Deposit Enrollment Form

Other Resources

pwatson@jmsmith.com
864-582-9419 ext 5483 or,
800-428-7281 ext 5483