ABOUT THE PLAN
  Features & Benefits
  Facts About the Plan
  Schedule of Benefits
  Want to Participate?


FOR EMPLOYERS
  Eligibility
  Employer FAQ's
  Administration Manual
  Electronic Billing & Pmts.
  Update Unit Info
  Enrollment
  Filing a Claim
  Forms
  Non-Participating Groups
  Open Enrollment


FOR MEMBERS
  Eligibility
  Member FAQ's
  Schedule of Benefits
  What if I'm disabled?
  Enrollment
  Filing a Claim
  Forms


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Forms

The following forms are available in a printable format, online format, or both. The printable format forms are Adobe PDF files while the online forms are available for you to complete and submit from this web site.
  • Enrollment Form: PDF

  • Change of Beneficiary Form: PDF

  • Request for Certificate: PDF

  • Change of Address: PDF

  • Update Unit Info: Online form or PDF

  • Request Brochures: Online form

  • To file a claim, contact the American Administrative Group at 1-800-525-8056, email aag_ncpers@aagco.com or link to form. Claim form: PDF.

  • Conversion Form: PDF

  • Electronic Billing & Payment request: Online form
Please mail forms to the following address:

American Administrative Group, Inc.
10303 East Dry Creek Road, Suite 200
Englewood, CO 80112