Forms and Documents

FY24 Benefits Guide

Claim Forms

Note: FY24 Claim forms for Hospital Indemnity, Accident, and Short-Term Disability can be found on the MetLife Microsite. FY23 Vision claim forms can be found on the EyeMed Microsite or the Vision Page.

Please Note: If you need to make a change to the amount deducted for an HSA, please call the Benefits Division at 605.773.3148 or email to request the proper form.

  • Second Level Appeal External Review Form
  • Discount and Lifestyle Programs