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 form (pdf): Complete this form to provide evidence of insurability for optional life coverage.
Beneficiary designation (pdf): Designate or change your beneficiary.
Conversion form (pdf): Application and cost to convert coverage to an individual whole life policy if you are leaving your employer and want to be billed directly by Securian Financial.

Documents

Life and AD&D Insurance Overview (pdf): General Information about your life insurance program.
Life Certificate of Participation (pdf): Details about the St. Paul Public Schools Optional Life Insurance program.
AD&D Certificate of Participation (pdf): Details about St. Paul Public Schools Voluntary AD&D insurance program.

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