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.


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.




Life insurance certificate (pdf)
Details about the life insurance coverage
Beneficiary Financial Coaching (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.
Travel Assistance (pdf)
An overview of the Travel Assistance program.