Skip to main content

Forms and documents

Select the name of the form or document you would like to view or print. It will open in a new browser window. You may then print the piece by clicking the print button in the icon bar, above the form.

Forms

Evidence of Insurability (pdf)
Required for coverage elections over the guaranteed issue limit
Beneficiary Designation (pdf)
Required to make your initial beneficiary designation

 

 

Documents

Active employee summary (pdf)
Learn about the life insurance benefits available to you as an active employee
Active Employee Certificate (pdf)
Complete details about your group life insurance plan
Retiree Certificate (pdf)
Complete details about your group life insurance plan
Legislator Certificate (pdf)
Complete details about your group life insurance plan
Beneficiary Financial Counseling (pdf)
Services from PricewaterhouseCoopers LLP (PwC) are available to beneficiaries who receive at least $25,000 in policy benefits
Legal, Financial and Grief Resources (pdf)
An overview of the Legal, Financial and Grief Resources