Indigo Insurance Services
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Forms and Brochures

Everything you need to know about Indigo, to enroll, or to file a claim can be found right on this page.

Visit the contact us section for important Indigo and USAble customer service and claims contact information.

Forms

Employee Employer
  • Group Enrollment or Change Form
  • Evidence of Insurability
  • Proof of Death
  • Application for Long Term Disability Income Benefits
  • Statement of Claim: Short Term Disability Income Benefits
  • Accelerated Death Benefits - Statement of Claim
  • Accidental Death & Dismemberment - Statement of Claim
  • Short Term Disability Update Form
  • Beneficiary Change Form
  • 10+ Group Long Term Disability Insurance Application
  • 10+ Group Basic and Voluntary Group Insurance Application
  • 2-9 Group Trust Participation Application and Agreement
  • W-2 Agreement
  • Conversion Privilege
  • Waiver of Premium
  • Voluntary Products Enrollment Form
  • Group Insurance Administration Manual
  • Voluntary Insurance Administration Manual
  • Group Term Life Conversion Application

Brochures

  • Indigo Introductory Brochure
  • 2-9 Massachusetts Employer Group Brochure
  • 2-9 Massachusetts Employer Group Rates and Calculation Worksheet
  • Travel Assist for Groups of 50+ Employees
  • Product Comparison Chart
  • About USAble (www.usablelife.com)
  • Voluntary Group Term Life
  • Voluntary Accidental Death & Dismemberment
  • Voluntary Income Protection - Short Term Disability
  • Voluntary Long Term Disability

Quick Links

© Indigo Insurance Services, LLC

® Registered Marks of the Blue Cross and Blue Shield Association.
Indigo Insurance Services, LLC is a subsidiary of Blue Cross and Blue Shield of Massachusetts, Inc.
Indigo sells certain products of USAble Life, which is owned in part by Blue Cross and Blue Shield Massachusetts, Inc.