Open Enrollment

Changes This Year

Benefits Overview

Benefits Guide

Highlights the comprehensive coverage available to you and your family.

Benefits Guide

Highlights the comprehensive c ...

Benefits Compliance Notice Packet

Details your rights pertaining to benefits

Benefits Compliance Notice Packet

Details your rights pertaining ...

How To Enroll and Forms

Benefits Enrollment Form

Enrollment/Change Form

Benefits Enrollment Form

Enrollment/Change Form

Evidence of Insurability

Required for Vol Life elections exceeding the GI and for late enrollees

Evidence of Insurability

Required for Vol Life election ...

BCBS Common Law Affidavit

Required if adding a common law spouse to benefits

BCBS Common Law Affidavit

Required if adding a common la ...

Life Inurance Conversion Form

If you lose your life benefits, you can request to convert to a whole life policy.

Life Inurance Conversion Form

If you lose your life benefits ...

Life Insurance Portability Request Form

If you lose your life benefits, you can request to keep it with portability.

Life Insurance Portability Request Form

If you lose your life benefits ...

FSA Application

Enrollment Form

FSA Application

Enrollment Form

Aflac Interest Intake

Complete this form to let your Aflac rep know you're interested in hearing more about their policies.

Aflac Interest Intake

Complete this form to let your ...

Dental & Vision Benefits

BCBS Dental and VSP Vision
Dental Benefits

Summary of Benefits & Coverage

Dental Benefits

Summary of Benefits & Coverage

Dental Teledentistry

Virtual dental visits available with your BlueCare Dental Plan

Dental Teledentistry

Virtual dental visits availabl ...

Vision Benefits

Summary of Benefits & Coverage

Vision Benefits

Summary of Benefits & Coverage

TruHearing

Hearing Aid Discount Program for VSP Members

TruHearing

Hearing Aid Discount Program f ...

Life & Disability Benefits

Mutual of Omaha
Life and Disability Benefits

Summary of Benefits & Coverage

Life and Disability Benefits

Summary of Benefits & Coverage

Life Conversion Process

Instructions for converting your life benefits, if coverage ends.

Life Conversion Process

Instructions for converting yo ...

Life Portability Process

Instructions for keeping your life benefits, if coverage ends.

Life Portability Process

Instructions for keeping your ...

Portability vs. Conversion Flyer

Helps you determine the best option for you.

Portability vs. Conversion Flyer

Helps you determine the best o ...

Employee Assistance Program

Help you need so you spend less time worrying about the challenges in your life.

Employee Assistance Program

Help you need so you spend les ...

Identity Theft Protection

NortonLifeLock
NortonLifeLock Flyer

Identity Theft Protection to keep you and your family safe.

NortonLifeLock Flyer

Identity Theft Protection to k ...

NortonLifeLock Brochure

Help protect your identity and devices with Norton LifeLock

NortonLifeLock Brochure

Help protect your identity and ...

Accident, Cancer, Specified Disease, etc.

Aflac
Accident Option 3

Aflac protects your personal finances, in the event of an accident.

Accident Option 3

Aflac protects your personal f ...

Accident Option 4

Aflac protects your personal finances, in the event of an accident.

Accident Option 4

Aflac protects your personal f ...

Cancer Option 2

From prevention to recovery, Aflac is with you.

Cancer Option 2

From prevention to recovery, A ...

Critical Care Option 2

Aflac can help ease the financial stress of surviving a critical illness.

Critical Care Option 2

Aflac can help ease the financ ...

Critical Care Plus Rider

Boost Your Protection with the Aflac Plus Rider.

Critical Care Plus Rider

Boost Your Protection with the ...

Hospital Confinement

Hospital-related benefits to help with the expenses not covered by major medical.

Hospital Confinement

Hospital-related benefits to h ...

Rate Schedule

Biweekly Rates for all Aflac policies

Rate Schedule

Biweekly Rates for all Aflac p ...

Contact Us

Kiowa Tribe Contacts

SD

Starr Delgado

sdelgado@kiowatribe.org

(405) 480-0543

TH

Tiffany Horn

thorn@kiowatribe.org

(405) 480-0436