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Benz Main Menu

  • Distribution Center - Retired After 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Home Office - Retired After 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Distribution Center - Retired Before 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Home Office - Retired Before 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Added Benefits
    • Retiree Discount Program
    • Red Tab Foundation
    • Financial Planning After You Retire
  • How do I…?
  • Contacts and Resources
    • Contacts
    • Forms
    • Documents

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  2. Contacts and Resources
  3. Forms

Forms

Hartford Life Beneficiary Form [PDF]

Hartford Life Beneficiary Form - Spanish [PDF]

Optum Rx Mail Service Order Form [PDF] 

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Welcome to your new retiree benefits website

Here you’ll find helpful information about your health care and retirement benefits. This site is organized by the year you retired and where you worked when you retired – at Home Office or at a Distribution Center. Go explore!

Si quisiera hablar con alguien en español, por favor llame al 844-414-5384.

Benz Main Menu

  • Distribution Center - Retired After 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Home Office - Retired After 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Distribution Center - Retired Before 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Home Office - Retired Before 1989
    • Medical benefits for retirees under age 65
    • Rx benefits for retirees age 65 and older
    • Life Insurance
    • Retirement Savings and Pension Benefits
  • Added Benefits
    • Retiree Discount Program
    • Red Tab Foundation
    • Financial Planning After You Retire
  • How do I…?
  • Contacts and Resources
    • Contacts
    • Forms
    • Documents

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