Life and Disability Insurance

    Benefit Summaries

    BASIC TERM LIFE

    BASIC ACCIDENTAL DEATH & DISMEMBERMENT

    BASIC LONG-TERM DISABILITY 

     

    VOLUNTARY AND DEPENDENT TERM LIFE

    VOLUNTARY ACCIDENTAL DEATH & DISMEMBERMENT

     

    Forms

    Active Employees

    Please Designate Beneficiaries in Oracle. You can designate or change beneficiaries at any point during the year.

    Evidence of Insurability

    Departed Employees

     

    Conversion Application – Basic and Voluntary Life Insurance

     

    Conversion Application – Accidental Death and Dismemberment

     

    Portability of Voluntary Life Insurance Form

    Contact New York Life

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