Agency Benefits Coordinators
- eForms
- Data Entry and eForm Training
- New Edison Rehire/Transfer e-Forms Instructions
- First Time Users/Password Reset for Edison
- Step-by-step Video for How to Enroll Using ESS
- Video Guide for Edison Password Reset
- Video Guide for Retrieving Edison Access ID
- Video Guide for Logging in to Edison the First Time
- Edison Query List
- Edison Query Manual
- Video: Dependent Verification
- ABC Training Presentation — Day 1 LE
- ABC Training Presentation — Day 1 LG
- ABC Training Presentation — Day 1 ST
- ABC Training Presentation — Day 2 All
- Instructions for Running Past Collection Applied Reports
- Instructions for Running Your PPACA Report
- Uploading Documents through Zendesk
- 2018 Enrollment Change Application
- 2017 Enrollment Change Application
- Edison Benefits User Security Authorization Form
- TennCare Notice
- Corrections and Clarifications Form
- Fax Document Separator
- Agency ACH Form
- Certificate of Incapacitation for Dependent Child
- Request for Claims/Enrollment Data
- To request large claims data for premium bids, email benefits.privacy@tn.gov
- Insurance Cancel Request Application
- Dependent Verification Fax Transmittal Sheet
- Securian (Minnesota Life) Order Form
- Securian (Minnesota Life) Dismemberment Form
- Notice of Death Form
- Notice of Claim for Accelerated Benefit Form
- Life Insurance Waiver of Premium Claim Form
- Life Insurance Beneficiary Statement
- Life Insurance Preference Beneficiary Statement
- Process — State
- Process — Higher Education
- Termination due to Death — Local Education and Local Government
- Response to Funeral Home
- Basic Life Beneficiary Designation
- State Required Federal Marketplace Notice (rev 1/3/2018)
- Higher Education Required Federal Marketplace Notice (rev 1/3/2018)
- Local Education Required Federal Marketplace Notice (MS Word) (rev 1/3/2018)
- Local Government Required Federal Marketplace Notice (MS Word) (rev 1/3/2018)
- Full to Part Time Changes (State only) (rev 1/18)
- Information Sheet (State only) (rev 2/18)
- Minimum Value Certification 2015
- Minimum Value Certification 2016
- Minimum Value Certification 2017
- PPACA Update — Local Education & Local Government
- Plan Document (2018)
- Order Form
- Employee Checklist
- Pre-Enrollment Benefits Information
- 2018 New Hire Health Insurance PowerPoint Presentation
- 2018 New Hire Health Insurance Presentation with Notes
- 2018 New Hire Voluntary Insurance PowerPoint Presentation
- 2018 New Hire Voluntary Insurance Presentation with Notes
- 2018 New Hire Voluntary Insurance Presentation with Audio
- Term Life Resource Guide
- State Employee Discounts (State Intranet site)