Forms

Benefits

Benefits enrollment is now Open. Enrollment will close on Thursday, April 30th 2009.

For the various forms below, you will need Adobe Acrobat Reader to view and print the forms. If you need help completing a form, bring the blank form into one of our local branch offices or call us directly.

Unsure if you qualify? View Benefits FAQS

Q: Who can I enroll?
A: In addition to you, dependent coverage is offered in the medical, dental, and term life plans. Your eligible dependents are your lawful spouse and your unmarried children (who depend on you for support) from birth through age 18, through age 24 if a full-time student, or through any age if handicapped and unable to earn a living.

Q: When does coverage begin and end?
A: Your coverage is effective on the first day of the month after you enroll, provided you are eligible.


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Benefits for New Employees


Download our Benefits Enrollment Kit
Benefit Enrollment Form Lakeshore's Benefits Enrollment Kit 641 kb
Download Lakeshore's benefits enrollment kit. This kit contains all the necessary forms for participation in the benefits package offered by Lakeshore if you qualify.

Atena Arizona Providers

Atena Arizona Providers Arizona Provider Directory
3,000 kb

View a directory of Atena Providers in the state of Arizona.
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Lakeshore Guidelines

Direct Deposit

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