{"id":2,"date":"2021-06-01T11:47:02","date_gmt":"2021-06-01T15:47:02","guid":{"rendered":"https:\/\/new.johnstonesbenefits.com\/?page_id=2"},"modified":"2026-02-11T17:05:36","modified_gmt":"2026-02-11T22:05:36","slug":"administrator-forms","status":"publish","type":"page","link":"https:\/\/johnstonesbenefits.com\/clients\/ila\/administrator-forms\/","title":{"rendered":"Admin Forms"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8wei-dbeaae1bde335a7a6d2d47434e7b2e31\">\n.flex_column.av-8wei-dbeaae1bde335a7a6d2d47434e7b2e31{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-8wei-dbeaae1bde335a7a6d2d47434e7b2e31 av_two_third  avia-builder-el-0  el_before_av_one_third  avia-builder-el-first  first flex_column_div av-zero-column-padding '   ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-mlikwd8b-6f45d5cc444146cb20d3c7233e3cb0af\">\n#top .togglecontainer.av-mlikwd8b-6f45d5cc444146cb20d3c7233e3cb0af p.toggler{\nborder-color:#00646a;\n}\n#top .togglecontainer.av-mlikwd8b-6f45d5cc444146cb20d3c7233e3cb0af p.toggler.activeTitle{\ncolor:#ffffff;\nborder-color:#ffffff;\nbackground-color:#00646a;\nbackground:linear-gradient( to right, #00646a, #769a9e );\n}\n#top .togglecontainer.av-mlikwd8b-6f45d5cc444146cb20d3c7233e3cb0af .toggle_wrap .toggle_content{\nborder-color:#00646a;\n}\n<\/style>\n<div  class='togglecontainer av-mlikwd8b-6f45d5cc444146cb20d3c7233e3cb0af  avia-builder-el-1  avia-builder-el-no-sibling  toggle_close_all hasCurrentStyle' >\n<section class='av_toggle_section av-av_toggle-0fe609f7956e09cfec6ae366429a5a6c'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-1' class='toggler   av-inherit-border-color'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-1'>Enrollment Form<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-1' class='toggle_wrap  '  ><div class='toggle_content invers-color av-inherit-border-color'  itemprop=\"text\" ><div id=\"question\">\n<div class=\"answer\">\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2026\/02\/Application-for-Coverage.pdf\" target=\"_blank\" rel=\"noopener\">Enrollment Form<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p style=\"text-align: left;\">Use this form to enrol your employees and their dependents in your company&#8217;s group benefits plan. An employee becomes eligible for benefits coverage in accordance with the eligibility requirements and the waiting period(s) outlined in your group policies. To be eligible, an employee must be in an eligible class, work a minimum hours per week, have completed the waiting period (if applicable), be &#8220;actively at work&#8221; on the eligibility date.<\/p>\n<p style=\"text-align: left;\">If an employee enrols in the benefits plan later than 31 days ofbecoming eligible, he\/she will be treated as a Late Applicant. An employee who is considered a Late Applicant must provide satisfactory medical evidence of insurability to the Insurer and be formally approved prior to becoming eligible for coverage. Some limitations\/restrictions may apply as per your group policy.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-av_toggle-6c218ed152485ffd11eb81c6f78352b3'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-2' class='toggler   av-inherit-border-color'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-2'>Change Form<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-2' class='toggle_wrap  '  ><div class='toggle_content invers-color av-inherit-border-color'  itemprop=\"text\" ><ul>\n<li><a id=\"q1\" href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2026\/02\/Application-for-Change.pdf\" target=\"_blank\" rel=\"noopener\">Change Form<\/a><\/li>\n<\/ul>\n<p style=\"text-align: left;\">Use the Change Form to report to Johnstone&#8217;s work changes, including:<\/p>\n<ul>\n<li style=\"text-align: left;\">change of salary<\/li>\n<li style=\"text-align: left;\">change of position<\/li>\n<li style=\"text-align: left;\">transfer between classes and\/or divisions<\/li>\n<li style=\"text-align: left;\">leave of absence for more than 31 days<\/li>\n<li style=\"text-align: left;\">disability<\/li>\n<li style=\"text-align: left;\">termination of employment, including retirement<\/li>\n<\/ul>\n<p style=\"text-align: left;\">And changes due to life events, including:<\/p>\n<ul>\n<li style=\"text-align: left;\">addition of spouse and\/or dependent child(ren) due to marriage, including common-law, or birth of a child<\/li>\n<li style=\"text-align: left;\">deletion of spouse and\/or dependent child(ren) due to legal separation, or divorce<\/li>\n<li style=\"text-align: left;\">death of employee, spouse or dependent child<\/li>\n<li style=\"text-align: left;\">dependent child becoming overage as per your policy<\/li>\n<li style=\"text-align: left;\">spouse gains benefits coverage, or spouse loses benefits coverage<\/li>\n<li style=\"text-align: left;\">home address change<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-av_toggle-05b6aa957ddd35d59a46ec16590fd7c3'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-3' class='toggler   av-inherit-border-color'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-3'>Optional Life Insurance<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-3' class='toggle_wrap  '  ><div class='toggle_content invers-color av-inherit-border-color'  itemprop=\"text\" ><div id=\"question\">\n<div class=\"answer\">\n<ul>\n<li><a href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2021\/07\/ila_opt_life_request.pdf\" target=\"_blank\" rel=\"noopener\">Optional Life Insurance<\/a><\/li>\n<\/ul>\n<p>Additional Life Insurance coverage is available for employee and their spouse, to supplement the amount of insurance provided under the Basic Life insurance plan. Use this form to apply for Optional Life Insurance.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-av_toggle-bf4eae0ecc181418ddcb86caaa0608c7'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-4' class='toggler   av-inherit-border-color'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-4'>Optional Accidental Death &amp; Disablement<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-4' class='toggle_wrap  '  ><div class='toggle_content invers-color av-inherit-border-color'  itemprop=\"text\" ><div id=\"question\">\n<div class=\"answer\">\n<ul>\n<li><a href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2021\/07\/Chubb_opt_add_request.pdf\" target=\"_blank\" rel=\"noopener\">Optional Accidental Death &amp; Disablement Brochure and Enrolment Form<\/a><\/li>\n<\/ul>\n<p style=\"text-align: left;\">Employees may wish to add an additional layer of protection to the group benefits package with optional accidental death &amp; dismemberment (AD&amp;D) coverage. Use this form to apply for optional group AD&amp;D insurance.<\/p>\n<\/div>\n<\/div>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-mlikwbux-e9cf9c437f8615da74019a547ac12f29'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-5' class='toggler   av-inherit-border-color'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-5'>Evidence of Insurability<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-5' class='toggle_wrap  '  ><div class='toggle_content invers-color av-inherit-border-color'  itemprop=\"text\" ><div class=\"answer\">\n<ul>\n<li><a href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2026\/02\/CL-Evidence-of-insurability-form-m5995.pdf\" target=\"_blank\" rel=\"noopener\">Evidence of Insurability<\/a><\/li>\n<\/ul>\n<p>Use this form whenever evidence of insurability is requested by your group insurance carrier.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/section>\n<section class='av_toggle_section av-av_toggle-0ed69752261f1f33ccbdf71b56bb7063'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div role=\"tablist\" class=\"single_toggle\" data-tags=\"{All} \"  ><p data-fake-id='#toggle-id-6' class='toggler   av-inherit-border-color'  itemprop=\"headline\"  role='tab' tabindex='0' aria-controls='toggle-id-6'>Pre-Authorized Debit<span class=\"toggle_icon\"><span class=\"vert_icon\"><\/span><span class=\"hor_icon\"><\/span><\/span><\/p><div id='toggle-id-6' class='toggle_wrap  '  ><div class='toggle_content invers-color av-inherit-border-color'  itemprop=\"text\" ><ul>\n<li><a id=\"q1\" href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2026\/02\/PRE-AUTHORIZED-DEBIT-FORM.pdf\" target=\"_blank\" rel=\"noopener\">Request for Pre-Authorized Debit Agreement<\/a><\/li>\n<\/ul>\n<p style=\"text-align: left;\">Clients are welcome to set up premium and other payments payable to Johnstone&#8217;s directly from their financial institution by completing this form.<\/p>\n<\/div><\/div><\/div><\/section>\n<\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kppkbuz5-9e0f1291197aa1f3ec71d5f4c722715a\">\n.flex_column.av-kppkbuz5-9e0f1291197aa1f3ec71d5f4c722715a{\nborder-width:1px;\nborder-color:#000000;\nborder-style:solid;\nborder-radius:1px 1px 1px 1px;\n-webkit-border-radius:1px 1px 1px 1px;\n-moz-border-radius:1px 1px 1px 1px;\npadding:15px 15px 15px 15px;\nbackground-color:#142336;\n}\n<\/style>\n<div class='flex_column av-kppkbuz5-9e0f1291197aa1f3ec71d5f4c722715a av_one_third  avia-builder-el-2  el_after_av_two_third  avia-builder-el-last  flex_column_div '   ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kppkdlcs-c33fef57da0feb7b12a8705cf7f58ff4\">\n#top .av_textblock_section.av-kppkdlcs-c33fef57da0feb7b12a8705cf7f58ff4 .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-kppkdlcs-c33fef57da0feb7b12a8705cf7f58ff4'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color'  itemprop=\"text\" ><div id=\"forms-sidebar-middle\">\n<h2 style=\"text-align: left;\"><span style=\"color: #ffffff;\">Tips for<\/span><br \/>\n<span style=\"color: #ffffff;\"> Administrator Forms<\/span><\/h2>\n<p style=\"text-align: left;\">Click on the type of form title to expand the section.<\/p>\n<p style=\"text-align: left;\">Then, select the appropriate form to link to the actual electronic form or the forms directory on the insurer&#8217;s website.<\/p>\n<p style=\"text-align: left;\">Each form will have specific instructions on how to complete the claim form.<\/p>\n<p style=\"text-align: left;\">Contact <span class=\"auto-style1\"><a href=\"..\/contact\/\"><span style=\"color: #ffcc99;\">Johnstone&#8217;s Benefits<\/span><\/a><\/span> if you require further information or guidance, if you are unable to access the required form, or if the desired form is not listed.<\/p>\n<\/div>\n<\/div><\/section><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":30,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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