Click the link below to download and print the benefit enrollment forms. Please fill out all checked areas on the form.
Fax the completed forms back to 270-831-2666 for required signatures.
Benefit Forms
The following web links will take you to our providers web site where you can obtain information and answers to questions concerning your benefits. If you need additional help contact PTT’s Human Resource Dept. at (270) 826-9000 ext. 240.
MEDICAL INSURANCE
ANTHEM – www.anthem.com
DENTAL INSURANCE
FIELD EMPLOYEES
AMERITAS GROUP – www.ameritasgroup.com
SHOP/OFFICE EMPLOYEES
HEALTH RESOURCE – www.hri-dho.com
LIFE INSURANCE
LINCOLN FINANCIAL GROUP – www.jpfic.com
