logo title /images/rImage/montgomery1.jpg
logo bottom
Friday 2/10/2012
Page Visits: 4,010

 


 

 Life Insurance



 

Life Insurance

Employees who are enrolled in the Health Plan receive the following:

The County pays for employee Basic Life Insurance and Accidental Death and Dismemberment Insurance through Reliastar.  The Basic Life plan pays a death benefit only.  There is no cash value or savings component.

If you die or become seriously injured in a covered accident, the County provides you with Accidental Death and Dismemberment Insurance (AD&D).  This is in addition to the Basic Life Insurance.

For more information regarding the County's Life Insurance Benefit, please see the County's Health Plan Booklet.

Employees can also purchase Supplemental  Life Insurance as well as additional Voluntary Accident Insurance.


Forms

Life Insurance Enrollment Forms

Supplemental Life Insurance Policy (Reliastar): Employee Copy

Supplemental Life Insurance Policy (Reliastar): Employee's Spouse's or Domestic Partner Copy

Accidental Death & Dismemberment Insurance Policy (Hartford)

Request for Change Form


Free software is required to read PDFs.

© Copyright 2012, The County of Mendocino
501 Low Gap Road, Ukiah, CA 95482