Insurance Administrator Resources
Administrator Assistance
Please contact the ACCE Benefits Team at [email protected] for assistance with all insurance administration inquiries.
If you would like to reach a specific ACCE Benefits Team Member we can be reached at 703-998-0072 or via email.
| Monique Bailey, Benefits Services Coordinator | [email protected] | |
| Kyle Trent, Benefits Service Associate | [email protected] | |
| Christy Merilus, Benefits Service Associate | [email protected] |
| Shonda Norris, Benefits Service Associate | [email protected] | |
| Colleen Logan, Benefits Services Manager | [email protected] | |
| Stacey Breslin, Executive Director, Vice President Benefits Services | [email protected] |
- Insurance Administrator Access Form - Add a new Insurance Plan Administrator or remove an existing Plan Administrator.
Administration Tools
- ACCE Insurance Administration Manual
- Includes contact information, a brief description of plan options, and administrative guidelines important to the successful administration of the insurance benefits. - Enrollment & Change Form Tips to Ensure Accuracy & Prompt Processing
- Excess Term Life Rates - View 2023 excess term life rates for benefit amounts in excess of $50,000
Employee Orientation Materials
- Group Insurance Certificate Booklets - Please provide copies of the certificate booklets that your organization is enrolled in to all eligible employees.
- Life w/AD&D
- Short-term Disability
- Long-term Disability
- Dental
- Vision
- Voluntary Personal Accident (with Travel Benefits)
- How to Obtain a Summary of Insurance Benefits
- Important Information for Dental & Vision Participants
- EAP Information - All participants in ACCE Long Term Disability Insurance plan are eligible for this Employee Assistance Program free of charge.
Employee Termination Materials
- Important Information for Terminated Employees - Provide to departing employees with applicable forms below.
Forms Center
- Employee Insurance Enrollment Form - To enroll your employee in any of the insurance programs offered by your organization. Also to update ACCE with any changes to the employee coverage type as a result of adding or removing dependent coverage.
- Employee Insurance Change Form - For employee updates such as salary, name, address, or beneficiary changes. Also to notify ACCE of employee terminations in any of the insurance programs offered by your organization.
- EFT Authorization Form - Set-up or make changes to your bank account from which insurance premiums are deducted.
- Organizational Enrollment & Change Form - To begin or change employer participation in any of the ACCE insurance programs.
How to File a Claim
- Life Claim Form - Please send the completed documents to UNUM when submitting a life claim.
- Short Term Disability Claim Form - Please send the completed documents to UNUM when submitting a disability claim.
- Long Term Disability Claim Form - Please send the completed documents to UNUM when submitting a disability claim.
- Voluntary Accidental Death & Dismemberment Claim Form - Please send the completed documents to New York Life when submitting a claim.
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