Online form For easier and faster processing times, log in to your myMERS account and access the online application form. Paper (pdf) form Fill out the send me an application form and we will email you the MERS IRA Application.
Online form For easier and faster processing times, log in to your myMERS account and access the online application form. Paper (pdf) form Fill out the send me an application form and we will email you the MERS IRA Application.
Form #: Accidental Dismemberment Claim Packet
Form #: Disability Claim Packet
Form #: Request for Life Conversion Materials
Form #: Life Insurance Portability
Form #: Waiver of Premium Claim Packet
Form #: Accelerated Benefit Claim Packet
Form #: Life Insurance Benefits Claim Packet
Form #: Application for Group Insurance with Under 25 Employees
Form: Group Life & Disability Insurance Application for Group Insurance 25 or more Employees SI 7364-MERS