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, 03/01/2019): Details about the life insurance coverage
Beneficiary Financial Counseling (pdf, 06/01/2018): Services from PricewaterhouseCoopers LLP (PwC) are available to beneficiaries who receive at least $25,000 in policy benefits.
Legal, Financial and Grief Resources (pdf, 06/01/2018): An overview of the Legal, Financial and Grief Resources.
Travel Assistance(pdf, 06/01/2018): An overview of the Travel Assistance program.