Life Insurance

Available to employees working at least 30 hours per week

Life insurance stamped approvalPolicy Anniversary – December 1

Our affordable voluntary group life and accidental death and dismemberment insurance is offered through Mutual of Omaha.

  • Guaranteed-issue coverage from $10,000 up to five times your salary ($100,000 maximum)
  • Offered “not subject to insurability”—no medical disclosure required
  • Higher coverage available with disclosure
  • Funded through payroll as a pre-tax benefit (up to $50,000 coverage)
  • Your spouse, children, or both, can also be covered
  • May be converted to an individual policy if your current employment ends

Please review the policy summary and pricing, and use the worksheet at the end to find the cost of the coverage you want.

Note that, if you require coverage in excess of the guaranteed-issue amounts, Mutual of Omaha offers employee coverage up to $250,000, and spouse coverage up to $100,000. You will be required to provide evidence of insurability.

Eligibility and enrollment

If you work at least 30 hours per week, you are eligible for life insurance and must submit the Life Insurance Election Form, whether you choose to waive or apply for coverage.

You are eligible for the guaranteed-issue coverage only if you apply within 30 days of your hiring date. If your application is late, you will be required to provide evidence of insurability.

If you are applying for coverage, you must submit the Enrollment Form, and if you want coverage above guaranteed-issue limits, you must submit the Evidence of Insurability Form. (This form will also be required if you wish to increase coverage later, or are a late entrant.) Your coverage will go into effect on the first day of the calendar month that follows your 30-day eligibility period.

For those who elect coverage:

On completion of your application we will email you the Certificate Validation Form issued by the carrier. For your records we also suggest you print the following two documents, Life Insurance Master PolicyGroup Voluntary Term Life Certificate Summary. If you elected in excess of the guaranteed issued amount, the initial form will reflect $100,000.00 until the requested coverage level is approved by carrier.

Should you ever need to change your beneficiaries, simply complete the Designation of Beneficiary Form and send it to us.

Insurance Carrier:  Mutual of Omaha Insurance Company

Carrier Website:  www.mutualofomaha.com

Customer Service:  1-800-948-9478

Group Number:  G000ABWE