Forms Directory

See below for a general list of forms that can be downloaded or printed. Please use the search bar or filter buttons to find a specific form. (Some forms may only be found behind your secure participant login.)

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  • Death Beneficiary Designation Change Form
  • Direct Deposit Authorization Form
  • Dismemberment and Loss of Sight Form
  • Domestic Partner Declaration of Dependency for Tax Purposes
  • Elixir Compound Drug Prior Authorization
  • Elixir Designation of Personal Representative (English)
  • Elixir Designation of Personal Representative (Spanish)
  • Elixir Drug Reimbursement Claim Form
  • Elixir Mail Service Brochure
  • Enrollment Tutorial
  • Federal Tax Withholding Form (W-4P)
  • 2024 Kaiser HIPAA Authorization Form