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

Life insurance enrollment & change request (pdf): Required to enroll in or change your life insurance election.
Beneficiary designation form (pdf): Required to make your beneficiary designation
Portability form (pdf): Request to continue all or a portion of your voluntary in-force insurance.
Evidence of insurability form (pdf): Required if coverage is elected outside of your initial eligibility period.

Documents

Life insurance certificate (pdf): Details about the life insurance coverage
Empathy (pdf): Available through your group life insurance coverage with Securian Financial, services through Empathy are available at no cost to beneficiaries.
Legal, Financial and Grief Resources (pdf): An overview of the Legal, Financial and Grief Resources.
Travel Assistance (pdf): An overview of the Travel Assistance program.