Life and Disability

Group Term Life and Accidental Death and Dismemberment (AD&D) Insurance

• Summary of Group Term Life and AD&D Insurance (Employee, Spouse and Dependent)
• Enrollment Form for Voluntary Group Term Life and AD&D Insurance
• Beneficiary Designation Form for Basic and Voluntary Group Term Life and AD&D Insurance
• Continuation Options for Basic and Voluntary Group Term Life Insurance
• Basic Life Policy - Employer paid $50,000 life; employer paid $50,000 AD&D and employee paid $5,000 dependent life.
• Voluntary Life Policy - Employee paid supplemental life insurance (employee, spouse and /or dependent children).
• Accidental Death and Dismemberment (AD&D) Policy - Employee paid supplemental AD&D insurance (employee of family plan).

Long-Term Disability Insurance (LTD)

• Summary Chart of Benefits
• LTD Certificate - Employees Enrolled in Utah Retirement Systems
  (This certificate describes coverage provided to persons who are eligible and who have been properly enrolled under the terms of the policy, the terms of the master policy are controlling.)
• LTD Certificate - Employees Enrolled in TIAA-CREF
  (This certificate describes coverage provided to persons who are eligible and who have been properly enrolled under the terms of the policy, the terms of the master policy are controlling.)

Workers Compensation

• Workers Compensation Procedures
• Workers Compensation First Report of Injury