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Securian Financial

Forms and documents

Select the name of the form 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. You may also request a form by calling Securian at 1-866-293-6047 or sending an email to LifeBenefits@securian.com

Forms

Enrollment Application for VRS Optional Group Life Insurance (pdf)
(VRS-39) Required to sign up for optional Term coverage
Group Life Evidence of Insurability (pdf)
(VRS-32) Complete to be underwritten for coverage that is not guaranteed
Beneficiary Change
VRS members and retirees can update beneficiaries online through their secure myVRS account.
Conversion Brochure (pdf)
(VRS-35) Enrollment Information and Form for Conversion of Group Life Insurance