Health Insurance


 

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

JUMP MENU

 


Cafeteria (125) Plans
Form / Title Comments Format / Size
Standard Gemini Group enrollment form
PDF / 20K
Employee Savings Workseet
--coming soon
 
Resource that generates information about change of staus rules
Link
Medical & depandent Care Expense Reimbursement Request Form
PDF / 30K

Back to top / jump menu

Dental Plans
Form / Title Comments Format / Size
Standard Gemini Group enrollment form
PDF / 40K
Dental Direct Reimbursement Claim Form
PDF / 60K

Back to top / jump menu

Group Insurance
Form / Title Comments Format / Size
Form to appoint Gemini Group as broker of record
PDF / 4K

Census Data Information sheet

PDF / 40K

Back to top / jump menu

Retirement Plans
Form / Title Comments Format / Size
Beneficiary Designation Form
PDF / 20K

Changes: Address, Name, Contribution

WORD / 30K
Request for Rollover of Prior Plan Distribution PDF / 20K
Distribution Request PDF / 30K
Nationwide Paycheck Program
Application .exe / 10MB
Link to purchase ERISA bonds online Link

 


303.893.0300 • Fax: 303.861.8147 • Email: info@geminigrp.com • 789 Sherman St., Ste. 400, Denver, CO 80203