Resource Browser
| Filename | Description | Updated | |
|---|---|---|---|
| Beneficiaries - Frequently Asked Questions | Life Insurance Beneficiary Information | ||
| Certificate | Active benefits-eligible employee life insurance certificate. | ||
| Certificate | Active full-time administrators life insurance certificate | ||
| Certificate | Retiree Life Insurance | ||
| Evidence of Insurability | To apply for additional life insurance, complete this form and return it to HR/Benefits. Email mpsbenefitsq@mpsomaha.org with questions. | ||
| Life Insurance Benefit Enrollment Form | New Hires or Additional Life Insurance Requests Required Form: Dependent Life: Eligible Dependent Child(ren) means: *1) Your unmarried Child until age 19 or age 23 if a full-time student. Full-time student means a registered student in full-time attendance at an accredited educational institution, including vocational training. 2) Child includes a stepchild or legal ward, a child placed in the home for adoption and/or a legally adopted child. 3) Disabled Child | ||
| Retiree Life Insurance Rider | |||
| Supplemental Life & AD&D Insurance FAQs | Please update life insurance beneficiaries on the employee access center under employee tasks - click on deductions & benefits. Click on the life insurance link and add/change your beneficiaries. You may also complete the beneficiary change form and submit the completed form to HR. See "Beneficiary FAQs" pdf for important tips. | ||
| Terming Employees & Life Insurance | Continuation of Coverage - Portability Application: Terming employees have a 31-day window to port life insurance coverage: If you have any questions or need further information, please contact National Insurance Services at 1-800-627-3660 | ||
| Terming Employees - How to Continue Your Life Insurance | You may be eligible to continue your life insurance - please note you need to apply within 31 days of termination. Premium payments may be higher than your group rate. | ||
| Terming Employees Life Insurance Continuation Option | Terming Employees Life Insurance Continuation Option: Please note that your Life Insurance plan has a conversion option. If you wish to take advantage of this option, you must make a written application for this provision within 31 days of your last date of eligibility. If you fail to elect this provision within the given 31 day time period, you will not be able to take advantage of this provision at a later date. If you have any questions or need further information, please contact National Insurance Services at 1-800-627-3660 | ||
| Terming Employees: Life Insurance Conversion Request Form | Terming employees have a 31 day window to continue life insurance coverage: If you have any questions or need further information, please contact National Insurance Services at 1-800-627-3660 | ||
| Theft of Identity Prevention Tips | Identity Theft Prevention |