LHK Partners, Inc. Form Downloads Benefit Portal

Medical Forms

UnitedHealthcare Medical Claim Form

Health Reimbursement Arrangement Forms (HRA)

PrimePay HRA Enrollment Form
PrimePay Direct Deposit Form
PrimePay Claim Form

MetLife Dental Forms

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 Pre-Tax Enrollment Form
FSA Direct Deposit
FSA Medical Reimbursement Claim Form

Spousal Surcharge Information

Spousal Surcharge FAQ’s
Spousal Surcharge Waiver Form