Life and AD&D
Basic Life and AD&D
Although we don’t like to think about it, should death occur, the survivors left behind could face serious financial hardships. Your family might need an alternative source of income to pay off your bills and meet their ongoing financial responsibilities. That is the purpose of life insurance – to provide funds for those left behind. This benefit is 100% paid for by James Perse.
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Member Services: 888 800 2742
| PLAN DOCUMENTS | ||
| Employer paid Life and AD&D | ||
| Benefit Summary | download (Eng) download (Sp) |
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| Certificate of Coverage | download | |
| Policy | download | |
Carrier Forms and Flyers
Voluntary Life and AD&D
If you would like to purchase additional Term Life and AD&D insurance for you and your dependents, you may do so through Lincoln Financial. This coverage is paid via convenient payroll deductions.
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Member Services: 800 423 2765
| PLAN DOCUMENTS | ||
| Voluntary Life | Voluntary AD&D | |
| Benefit Summary (Eng) | download | download |
| Benefit Summary (Sp) | download | download |
| Certificate of Coverage | download | download |
| Policy | download | |
Carrier Forms and Flyers
- Life and AD&D Claims Employee Flyer
- Manual Claim Form
- Online Will Prep
- Employee Contact Guide
- Application for Portability
- Life Conversion Checklist
- Evidence of Insurability Instructions
- Beneficiary Services
- Employee Funeral Prep Overview
- LifeKeys Services (Eng)
- Life Keys Services (Sp)
- Employee Connect Services (Eng)
- Employee Connect Services (Sp)
- Travel Connect (Eng)
- Travel Connect (Sp)
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Enrollment
If you've made your plan selections and are ready to enroll, click the button below for information on how to get started.
Enrollment Instructions -
Eligibility
Click the button below for more information about when you and your dependents become eligible for coverage.
Eligibility Information