Quick Information for Cumberland County School Employees

For the convenience of our policyholders, below is a list of forms and other information you may access or download as needed. You may need to download the Adobe Acrobat Reader before you can view some of the forms.

If you need help finding a form or need future assistance call 1-910-483-6210 or Click Here to email customer support.

The HealthPlan  (Dental, Vision, Short Term Disability and FSA Spending Accounts)

FSA Customer Service - 1-866-347-3640

FSA Claim Form - Download Here

Dental. Vision - 1-888-816-3096

Dental Claim Form

Click here for Contracted Dental Practices

Vision Claim Form

Short Term Disability customer service please call 1-877-318-4487

For Dental and Vision Reimbursements, members can mail the itemized statement and proof of payment into the following address.

The Health Plan

1110 Main Street

Wheeling WV 26003

Aflac - Critical Illness and Accident - Claim Forms & Brochures

• Accident Claim Form: Download Form

• Accident Wellness Claim Form: Download Form

• CI Claim form: Download Form

• CI Wellness Claim: Download Form

• Cumberland County CI with Cancer 2014 final: Download Brochure

•  Cumberland County Critical Illness without Cancer : Download Brochure

Allstate - Claim Forms & Products

• Allstate Accident Physician's Treatment Claim Form: Download Form

• Group Accident Claim Form Download Here

• Group Cancer Claim Form: Download Form

• Wellness Claim Form: Download Form

• Policy Service form (ex. address, name and beneficiary changes): Download Form

• SHOP Information: Download Brochure        

• SHOP Claim Form: Download Form

• Claims Service Number: 1-800-348-4489

• Policyholder Service Number: 1-800-521-3535

• NEW 2023- Allstate Cancer Plan for Cumberland County School Employees

Manhattan Life ( formerly Humana )

Manhattan Life (formerly Humana Policies) - Forms & Policies

• Manhattan Life Cancer Forms (Policies issued prior to 1/1/14)

  • Manhattan Life Cancer Plus Claim Form

  • Manhattan Life Cancer Claim Form

• Manhattan Life (formerly Humana -Cumberland County School Employees ONLY)

  • Service request form

  • Beneficiary change form

ING Reliastar- 403(b) Retirement Planning

For an Application or to speak with a Representative: Local: 1-910-483-6210 

Protective Life Insurance Company (universal life and term)

Policyholder Service Form: Download Form

Beneficiary Change form

For Forms and Customer Service Local: 1-910-483-6210

TRANSAMERICA

Cancer Select Plus and TransElite (Universal Life Insurance)

Policy Holder Service Form: Claims for TRANSAMERICA can be filed by calling TRANSAMERICA direct at 1-800-251-7254 or by logging into their site at www.tebcs.com.  You will need your policy number in order to log in.

TRANSAMERICA Wellness Instructions

For questions you can call Olde Fayetteville Insurance at 910-483-6210.

Texas Life Whole Life Insurance

For Customer Service call: 1-800-283-9233 press #2

Dearborn National- Group Life Insurance

Benefit information and Certificate number for CCS employees

Beneficiary Change Form