LHK Partners, Inc. Form Downloads Benefit Portal

Medical Forms

UnitedHealthcare Medical Claim Form

Health Reimbursement Arrangement Forms (HRA)

HRA Summary Plan Description
Direct Deposit Authorization Form
HRA Enrollment Form
Medical Claim Form

MetLife Forms

MetLife Vision Certificate
MetLife Vision Claim Form
MetLife Enrollment Form
Dental Claim Form

Mutual of Omaha Forms

Mutual of Omaha STD Claim Form
Mutual of Omaha Life Beneficiary Form

Flex Spending Forms

FSA Summary
FSA Election Form
Medical Claim Form
Transit Only Form
FSA Summary Plan Description
FSA Eligible Expenses

Spousal Surcharge Information

Spousal Surcharge FAQ’s
Spousal Surcharge Waiver Form