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Gemini Group Forms Library
Below you will find a complete list of forms available to download/access
through this site. Forms are group by related product. Use the jump menu
below to move to the product section you need.
May of the forms below are in PDF format. You will need the free Adobe
Acrobat Reader to view them. If you do not have this, you may obtain it
at: Adobe.com
| Cafeteria (125)
Plans |
| Form / Title |
Comments |
Format / Size |
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Standard Gemini Group enrollment form
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PDF / 20K |
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Employee Savings Workseet
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--coming soon
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Resource that generates information about change
of staus rules
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Link |
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Medical & depandent Care Expense Reimbursement
Request Form
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PDF / 30K |
Back to top / jump menu
| Dental Plans |
| Form / Title |
Comments |
Format / Size |
|
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Standard Gemini Group enrollment form
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PDF / 40K |
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Dental Direct Reimbursement Claim Form
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PDF / 60K |
Back to top / jump menu
| Group Insurance |
| Form / Title |
Comments |
Format / Size |
|
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Form to appoint Gemini Group as broker of record
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PDF / 4K |
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Census Data Information sheet
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PDF / 40K |
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| Retirement Plans |
| Form / Title |
Comments |
Format / Size |
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Beneficiary Designation Form
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PDF / 20K |
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Changes: Address, Name, Contribution
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WORD / 30K |
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Request for Rollover of Prior Plan Distribution |
PDF / 20K |
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Distribution Request |
PDF / 30K |
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Nationwide Paycheck Program
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Application |
.exe / 10MB |
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Link to purchase ERISA bonds online |
Link |
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