Videos

Summaries

Forms

Contacts

Claim Forms

• Accident Claim Form

Critical Illness Claim Form

 

Life Insurance

Universal Life Policy Claim Form

 

Voluntary Life Insurance with UNUM

https://securehealth.unum.com/generichome

The Registration/Access Code that employees will use to register will be:

(CURP) EP2LY1X

(Moser) 2JYASSV

 

Administrative Forms

• Change of Address Form

Domestic Partner Affidavit

• Request For Continuation of Group Life Insurance For Incapacitated Children

• Allstate Products Authorization to Release Information Form

Allstate Authorization to Disclose

Wellness Claims (Allstate Critical Illness)

Benefit (yearly)  $100

Pays each calendar year per covered person for one of the policy covered wellness tests. Please review your policy details or review the critical illness brochure located in the critical illness coverage section on this website.

Out Patient  Physician Treatment Claims (Allstate Accident Plan)

Benefit (per visit)  Low Plan - $50 | High Plan - $75

The outpatient physician’s treatment benefit pays when you are treated by a physician outside of a hospital for any reason. Limited to 2 visits per person per year, and 4 visits per year if your dependents are covered. The visit may be provided for a sickness, accident, well exam, physical exam, eye exam or dental exam. Please refer to your policy for the specific benefit information.

Deidre Mings

Assistant Director of Human Resources – Benefits

Phone: 417-836-4781

Email: deidremings@missouristate.edu

 

Denise Lofton

Sr. Benefits Specialist

Phone: 836-5892

Email: Dlofton@Missouristate.edu

Welcome to our benefit website -- an information resource designed to help you learn more about the benefits we offer to you. Click around and you'll find a variety of benefit resources. There are videos and plan summaries that can help you get a clearer picture of what is available to you. There are also enrollment and services forms to assist you in any elections or plan changes that need to made. And check back often, because we're constantly adding new material. If you have a specific question or want more information, drop us an e-mail message, contact the office of Human Resources, or call Benefits Call Center at 877-282-0808 Monday-Friday 7:00am-5:00PM CST.

Welcome to our benefit website!

Carrington Hall, Room 315

Phone: (417) 836-5102 or (417) 836-5102

Fax: (417) 836-6789

https://jobs.missouristate.edu

EDD Voice Line: (800) 735-2466

TDD User Line: (800) 735-2966

Email: hrbenefits@missouristate.edu