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