New Hire Service Form

  • Enter your company name here.
  • Employee Information

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Thank you for being a valuable client of the Colonial Life Anchorage District Office, covering both Alaska and Washington. As a reminder, it’s important to offer Colonial Voluntary Benefits to all new hires as they become eligible. In an effort to assist in this process, please take a few moments to complete this form and we will contact you. If you have questions, please do not hesitate to call Pamela Whitfield (District Manager) at 907-274-0227.

Please list any new employees hired within the last few months and their HIRE and ELIGIBILITY DATE FOR COVERAGE. If your company has multiple locations, please indicate the work location for each employee.