PRINT THE AMEA FORMS

Group Dental Insurance Claim Form PDF (96K) 
To receive a check for your scheduled reimbursable dental expenses, please complete Part 1 (Member/Employee) of the Form, have your dentist complete Part 2 of the Form and mail it to Group Claim Office, P.O. Box 82510, Lincoln, NE 68501.
Get Acrobat Reader!
Download Acrobat
Reader Here
Group Dental Certificate of Insurance PDF (176K)
Please read and print your Group Dental Certificate of Insurance including scheduled reimbursements and exclusions here.