Forms and Wellness Information

Anthem Health Tips

• Extension of Dependent Benefits
• Preventing Heart Disease - Watch Your Cholesterol
• Reversing Heart Disease Through Diet
• Eight Steps to Preventing Heart Disease
• Heart Disease and Weight
• What You Should Know About H1N1 Flu Prevention
• Heart TKO - A Young Survivor's Story
• Women and Heart Attacks
• 5 Steps to a Healthier Heart
• Basic Screening Facts - Colorectal Cancer
• Breast Cancer Risk Factors
• Breast Exams and Mammograms
• Preventing Breast Cancer
• Top Ten Breast Cancer Myths
• Inactivated Influenza Vaccine - What You Need to Know
• Posture: Slouching Toward Back Pain
• The Connection Between Mind and Body
• Six Ways to Keep Health Care Affordable
• Ways to Quit Smoking for Good
• What Is A Stroke?
• Stroke is an Emergency. Acting Fast Can Save Lives
• Symptoms of a Stroke
• Is there any treatment for a stroke?
• What can happen after a stroke?
• Level of Activity Key to Cutting Stroke Risk
• American Diet Boosts Stroke Risk
• Daily Burger, Fries: A Recipe for Stroke

Anthem Insurance Forms

• Application
• Member Change Form
• Express Scripts Mail Order Enrollment Form
• Blue View Out of Network Claim Form
• Anthem Medical and Prescription Claim Form
• Notification of Student Status

Anthem Updates

• Blue View Vision Providers
• Shenandoah Emergency Medicine Specialists - Provider Contract Termination

Assurant Dental Insurance Information

• Application
• Claim Form
• Member Change Submission Form
• Online Advantage Benefit for Members
  
• Plan Summary
• Statement of Loss

Employment, Payroll, and Benefit Forms

• Class Registration
• Direct Deposit Application
• Employment Eligibility Vertification: Form I-9
• Federal Tax Withholding Form - 2012 (W-4)
• Request for Reimbursement
• Sick Leave Bank Application
• Virginia Tax Withholding Certificate

Flexible Spending Information

• Instructions for LD&B's Online Services

Virginia Credit Union Information

• Membership Application
• Online Banking Information
• Member Discounts Page