Life Insurance: Enrollment

In order to guarantee life insurance coverage, you must complete and turn-in your enrollment form within the first 60 days of employment.  If your form is not completed and returned within that time period you will have to complete an "Evidence of Insurability" form and coverage will not be guaranteed.

Step 1: Complete the Life Insurance Application form (Print Clearly; Use Black Ink)

Step 2: Turn in the completed form