E-mail Forms

E-mail forms to yourself or others by selecting the checkbox right next to each form. Click the 'E-mail Forms' button at either the top or bottom of this page once you have selected your items. A new pop-up window will display, allowing you to specify recipients. PLEASE NOTE: Only use Adobe Reader for filling out CoPower's fillable PDF forms electronically. Please do not use Mac PDF Preview for filling out forms as it corrupts files and delays timely processing.

Benefits Administration Forms

Administrative forms are now even easier to find! Simply select the group's plan to quickly find all necessary administrative forms!

General CoPower Administrative Forms
CoPower ONE
CoPower SUITE
CoPower SELECT: Anthem Blue Cross
CoPower SELECT: Delta Dental
CoPower SELECT: Landmark Chiro/Acu
CoPower SELECT: MetLife Dental
Administrative forms for the standalone CoPower SELECT MetLife Dental plans.

Employee Enrollment/ Change Form - All Plans
Employee Enrollment/ Change Form - All Plans (Spanish)
Member Termination Form
CoPower SELECT: UnitedHealthcare
CoPower SELECT: Unum Life/LTD
CoPower SELECT: VSP Vision

New Sales/Broker

Quickly find all the forms necessary to sign up a group!

CoPower ONE
CoPower SELECT