Although many benefit communications and processes are paperless, there are still some benefit forms to consider. If you are making benefit changes--or increasing certain coverages--you may need to complete one or more of the forms provided in the links below. Also, links to certain benefit claim forms are included here for your convenience.

• Medco by Mail Mail Order Form ( PDF*)
• Merck's Adoption Assistance Program Reimbursement Form
  (Word Document)
• Employee Life Insurance and Survivor Income Insurance Proof of Good Health—Short Form ( PDF*)
• Employee Life Insurance and Survivor Income Insurance Proof of Good Health—Long Form ( PDF*)
• Employee Long-Term Disability Proof of Good Health Form ( PDF*)
• Employee/Spouse Long-Term Care Proof of Good Health Form ( PDF*)
• Aetna Medical Expense Claim Form ( PDF*)
• Aetna Dental Expense Claim Form ( PDF*)
• Aetna Health Care Account Claim Form ( PDF*)
• Aetna Dependent Care Account Claim Form ( PDF*)
• Aetna EFT Authorization Form ( PDF*)
• AETNA Health Care Account Streamlined Submission Participation Form
  ( PDF*)

* These files are presented in PDF format. This software is available at no charge through the Adobe Web site. Get Adobe Reader