ACCE | Insurance Administrator Resources

<!DOCTYPE html> <html> <head> <base href="https://secure.acce.org/" />  <script async src="https://www.googletagmanager.com/gtag/js?id=G-DTL69567C5"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-DTL69567C5'); </script>  <meta http-equiv="x-ua-compatible" content="ie=edge"> <meta name="viewport" content="width=device-width, initial-scale=1, user-scalable=0"> <title>ACCE | Insurance Administrator Resources</title>   <meta property="og:type" content="website"/> <meta property="og:url" content="https://secure.acce.org/pages/insurance-administrator/"/> <meta name="keywords" content="" /> <meta name="description" content="" /> <link rel="canonical" href="https://secure.acce.org/pages/insurance-administrator/" /> <script src="js/library_scripts.min.js"></script>  <script src="https://code.jquery.com/jquery-3.5.1.min.js" integrity="sha256-9/aliU8dGd2tb6OSsuzixeV4y/faTqgFtohetphbbj0=" 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Resources </a></li> <li class="item5" ><a href="pages/insurance-resources/">Insurance Participant Resources </a></li> <li class="item6" ><a href="pages/insurance-administrator/">Insurance Administrator Resources </a></li> <li class="item7" ><a class="last" href="pages/live-hrhotline/">Additional Administrator Resources </a></li> </ul> </li> <li class="item3" ><a class="last" href="https://trustmineral.com/sign-in/">Live - HR Hotline </a></li> </ul> </li> </ul> </nav> </div> </div> <div id="subMenu" class="hideOnMobile"> <div class="wrapper"> <nav class="subMenuJS"> </nav> </div> </div> </header> <script type="text/javascript"> initMainMenu(); initMobileMenu(); </script> <main class="page">  <section class="heroImage default " style="background-image: url('')"> <div class="wrapper "> <div class="heroInner"> <h1 class="heroHeader">Insurance Administrator Resources</h1> <div class="heroContent"></div> </div> </div> </section> <section class="basicContent content wrapper"> <div class="grid-container grid-x contentRow"> <div class="contentBody"> <div> <h3>Administrator Assistance</h3> <p>Please contact the ACCE Benefits Team at <strong><a href="/cdn-cgi/l/email-protection#d5b4b6b6b0b7b0bbb0b3bca1a6a1b0b4b895b4b6b6b0fbbaa7b2"><span class="__cf_email__" data-cfemail="e58486868087808b80838c919691808488a584868680cb8a9782">[email protected]</span></a></strong> for assistance with all insurance administration inquiries. </p> <p>If you would like to reach a specific ACCE Benefits Team Member we can be reached at 703-998-0072 or via email.</p> <table style="height: 64px; width: 863px;"> <tbody> <tr> <td style="width: 27px;"> </td> <td style="width: 880px;">Monique Bailey, Benefits Services Coordinator </td> <td style="width: 441px;"><a href="/cdn-cgi/l/email-protection#a4c9c6c5cdc8c1dde4c5c7c7c18acbd6c3"><span class="__cf_email__" data-cfemail="137e71727a7f766a53727070763d7c6174">[email protected]</span> </a> </td> </tr> <tr> <td style="width: 27px;"> </td> <td style="width: 880px;">Kyle Trent, Benefits Service Associate </td> <td style="width: 441px;"><a href="/cdn-cgi/l/email-protection#0a617e786f647e4a6b69696f2465786d"><span class="__cf_email__" data-cfemail="13786761767d6753727070763d7c6174">[email protected]</span></a> </td> </tr> <tr> <td style="width: 27px;"> </td> <td style="width: 880px;">Christy Merilus, Benefits Service Associate </td> <td style="width: 441px;"><a href="/cdn-cgi/l/email-protection#daa9b4b5a8a8b3a99abbb9b9bff4b5a8bd"><span class="__cf_email__" data-cfemail="41222c2433282d343201202222246f2e3326">[email protected]</span></a>  </td> </tr> </tbody> </table> <table style="height: 1px; width: 863px;"> <tbody> <tr> <td style="width: 19px;"> </td> <td style="width: 524.984px;">Shonda Norris, Benefits Service Associate </td> <td style="width: 309.016px;"><a href="/cdn-cgi/l/email-protection#7a091415080813093a1b19191f5415081d"><span class="__cf_email__" data-cfemail="31425f5e4343584271505252541f5e4356">[email protected]</span></a>  </td> </tr> <tr> <td style="width: 19px;"> </td> <td style="width: 524.984px;">Colleen Logan, Benefits Services Manager </td> <td style="width: 309.016px;"><a href="/cdn-cgi/l/email-protection#dbb8b7b4bcbab59bbab8b8bef5b4a9bc"><span class="__cf_email__" data-cfemail="46252a29212728062725252368293421">[email protected]</span></a>  </td> </tr> <tr> <td style="width: 19px;"> </td> <td style="width: 524.984px;">Stacey Breslin, Executive Director, Vice President Benefits Services</td> <td style="width: 309.016px;"><a href="/cdn-cgi/l/email-protection#255647574056494c4b65444646400b4a5742"><span class="__cf_email__" data-cfemail="453627372036292c2b05242626206b2a3722">[email protected]</span> </a> </td> </tr> </tbody> </table> <ul> <li> <a href="clientuploads/benefits/insurance-admin/Insurance_Admin_Form.pdf">Insurance Administrator Access Form</a> - Add a new Insurance Plan Administrator or remove an existing Plan Administrator.</li> </ul> </div> <h3>Administration Tools</h3> <ul> <li><strong><a href="clientuploads/benefits/insurance-admin/Insurance_Admin_Manual_Jan_2024.pdf">ACCE Insurance Administration Manual</a></strong> <img src="clientuploads/pdf.gif" alt="" />- Includes contact information, a brief description of plan options, and administrative guidelines important to the successful administration of the insurance benefits.</li> <li><a href="clientuploads/benefits/insurance-admin/Enrollment_Forms/Helpful_Tips_to_Ensure_Accuracy_for_Prompt_Processing.pdf">Enrollment & Change Form Tips to Ensure Accuracy & Prompt Processing</a></li> <li><a href="clientuploads/benefits/insurance-admin/Excess_Group_Term_Life_Insurance.pdf">Excess Term Life Rates</a> - View 2023 excess term life rates for benefit amounts in excess of $50,000</li> </ul> <h3>Employee Orientation Materials</h3> <ul> <li><strong>Group Insurance Certificate Booklets </strong>- <em>Please provide copies of the certificate booklets that your organization is enrolled in to all eligible employees.</em> <ul> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/Life_AD&D.pdf">Life w/AD&D</a></li> <li>Short-term Disability <ul> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/STD_Group_1_cert.pdf">30 day elimination, pays up to 9 weeks</a></li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/STD_Group_2_cert.pdf">30 day elimination, pays up to 22 weeks</a></li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/STD_Group_3_cert.pdf">7 day elimination, pays up to 12 weeks </a></li> </ul> </li> <li>Long-term Disability  <ul> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/LTD_Cert_021_90_day_elimination.pdf">90 day elimination</a></li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/LTD_Cert_031_180_day_elimination.pdf">180 day elimination</a></li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/LTD_cert_062_special_group.pdf">90 day elimination, SG3</a></li> </ul> </li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/Dental_PPO_Booklet.pdf">Dental </a></li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/VSP_Certificate_of_Coverage_2018.pdf">Vision</a></li> <li><a href="clientuploads/benefits/insurance-admin/Certificate_Booklets/Voluntary_Accident_Certificate.pdf">Voluntary Personal Accident (with Travel Benefits) </a></li> </ul> </li> <li><a href="clientuploads/benefits/insurance-admin/Employee_Orientation_Materials/How_to_Obtain_a_Insurance_Benefits_Summary.pdf">How to Obtain a Summary of Insurance Benefits</a></li> <li><a href="clientuploads/benefits/insurance-admin/Employee_Orientation_Materials/Important_Info_for_Employees_-_Dental_&_Vison.pdf">Important Information for Dental & Vision Participants</a></li> <li><a href="clientuploads/benefits/insurance-admin/Employee_Orientation_Materials/Employee_Assistance_Program_Flyer.pdf">EAP Information</a> - All participants in ACCE Long Term Disability Insurance plan are eligible for this Employee Assistance Program free of charge.</li> </ul> <h3>Employee Termination Materials</h3> <ul> <li><strong><a href="clientuploads/benefits/insurance-admin/Employee_Termination_Materials/Information_for_Terminated_Employees.pdf">Important Information for Terminated Employees</a></strong> - Provide to departing employees with applicable forms below. <ul> <li><a href="clientuploads/benefits/insurance-admin/Employee_Termination_Materials/Dental_Continuation_Form.pdf">Dental Continuation Form (COBRA)</a></li> <li><a href="clientuploads/benefits/insurance-admin/Employee_Termination_Materials/Vision_Continuation_Form.pdf">Vision Continuation Form (COBRA)</a></li> <li><a href="clientuploads/benefits/insurance-admin/Employee_Termination_Materials/Life_Insurance_Portability_Form.pdf">Life Insurance Election of Portability Form</a></li> </ul> </li> </ul> <h3>Forms Center</h3> <ul> <li><a href="clientuploads/benefits/insurance-admin/Enrollment_Forms/Employee_Insurance_Enrollment_Form_2024.pdf"><strong>Employee Insurance Enrollment Form</strong> </a>- To enroll your employee in any of the insurance programs offered by your organization.  Also to update ACCE with any changes to the employee coverage type as a result of adding or removing dependent coverage. </li> <li><a href="clientuploads/benefits/insurance-admin/Enrollment_Forms/Employee_Insurance_Change_Form_2024.pdf"><strong>Employee Insurance Change Form</strong></a> - For employee updates such as salary, name, address, or beneficiary changes.  Also to notify ACCE of employee terminations in any of the insurance programs offered by your organization.</li> <li><a href="clientuploads/benefits/insurance-admin/Enrollment_Forms/Insurance_EFT_Authorization.pdf">EFT Authorization Form</a> - Set-up or make changes to your bank account from which insurance premiums are deducted.</li> <li><a href="clientuploads/benefits/insurance-admin/Enrollment_Forms/Organization_Insurance_Enrollment_&_Change_Form.pdf">Organizational Enrollment & Change Form</a> - To begin or change employer participation in any of the ACCE insurance programs.</li> </ul> <h3>How to File a Claim</h3> <ul> <li><a href="clientuploads/benefits/insurance-admin/Claim_Forms/UNUM_Life_and_or_Accidental_Death_Claim_Form.pdf" target="_blank" rel="noopener noreferrer">Life Claim Form </a>- Please send the completed documents to UNUM when submitting a life claim.</li> <li><a href="clientuploads/benefits/insurance-admin/Claim_Forms/UNUM_STD_Disaility_Claim_Form.pdf" target="_blank" rel="noopener noreferrer">Short Term Disability Claim Form</a> - Please send the completed documents to UNUM when submitting a disability claim.</li> <li><a href="clientuploads/benefits/insurance-admin/Claim_Forms/UNUM_LTD_Disability_Claim_Form.pdf" target="_blank" rel="noopener noreferrer">Long Term Disability Claim Form</a> - Please send the completed documents to UNUM when submitting a disability claim.</li> <li><a href="clientuploads/benefits/insurance-participant/Claim_Forms/NYL_Group_Accidental_Death_Proof_of_Loss_L&AD.pdf">Voluntary Accidental Death & Dismemberment Claim Form</a> - Please send the completed documents to New York Life when submitting a claim.  </li> </ul> </div> <div class="contentSidebar"> <div id="subMenu" class="sidebarMenu"> <div id="subMenuTitle"></div> </div> </div> </div> </section>  </main> <div class="flexRow"> <div class="wrapper"> <div class="sponsors"> <div class="sponsorHeaderContainer sectionTitle"> <h2>Our Partners</h2> </div> <div class="eventsSponsorsScroller"> <div class="sponsorCarousel" data-flickity='{ "contain": true, "percentPosition": false, 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