ONLINE BENEFITS DIRECTORY

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 
Fitness 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

TRANSAMERICA ACCIDENT

TRANSAMERICA LIFE

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