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Benefit Highlights

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	Forms

Forms

Included below is a list of forms you may need for various benefits offered by The McGraw-Hill Companies:

Enrollment/Change Forms

Benefits Enrollment and Change Form

Dependent Verification Process & Instructions

Domestic Partner Affidavit

DMO Enrollment/Change Form

Beneficiary Designation Form

Transition of Care Memo and Application

Claim Forms

UnitedHealthcare Medical Claim Form

Medco Prescription Reimbursement Benefit Claim Form

Medco Prescription Mail Order Form

Medco Prescription Fax from Physician Office

The McGraw-Hill Companies Dental Plan Claim Form

FSA: Healthcare Pay Me Back Claim Form (WageWorks)

FSA: Dependent Day Care Pay Me Back Claim Form (WageWorks)

ValueOptions Member Submitted Claim Form

VSP Out-of-Network Claim Form

Commuter Benefits: Pay Me Back Form (WageWorks)

Special Retiree Forms

WageWorks-Part-D-Claim-form-Rev-Mar2008.pdf

Retiree Beneficiary Designation Form (Hartford)