Medical Forms

ABX Air United Health Care Medical Claim Form

Medco Health Prescription Mail Order Form

Medco Health, Allergy, and Medical Questionnaire - Must be completed for first time mail order users.

International United HealthCare Form

Optum Health Bank application for the HSA

Dental & Visions Forms 

ABX Air MetLife Dental Claim Form

MetLife Dental Card

ABX Air EyeMed Vision Care Form

Flexible Spending Accounts Forms

UHC Medical and Dependent Care Flexible Spending Account 

Beneficiary Forms 

Full-time Beneficiary Form 

Part-time Beneficiary Form 

Flight Crewmember Beneficiary Form 

Family Medical Leave Forms (revised May 1, 2009)

Family Medical Leave Forms

Other Forms

Employee Stock Purchase Plan Enrollment Kit

Payroll Direct Deposit form

Personal Leave Request form 37kb PDF 21k DOC