Bookmark & ShareGeneral Information and Requirements
Employees of state government, higher education, participating K-12 school districts, participating educational service districts, and participating employer groups have 60 days from their initial date of eligibility to enroll in optional life insurance.
For an explanation of life insurance benefits reference the materials below:
Life Insurance Chart (42.5 KB)- Life Insurance Decision Tree (28.8 KB)
- Life Insurance Plan booklet (1.2 MB)
- Life Insurance Administration Manual (193.6 KB)
See the System Keying PAY1 section for instructions on keying Final Action Notices (FANs), Premium Waivers, Accelerated Benefit Claims, Transfer of Insurance, etc.
Forms
- Life Insurance Enrollment form (139.5 KB)
- Life Insurance Change form (179.6 KB)
- Life Insurance Evidence of Insurability form (97.8 KB)
Non-Smoker Certification (Amendments to Original Application)- Beneficiary Designation
- Death Claim
- Waiver of Premiums
- Accelerated Benefit Claims
- Life Conversion Information Request
Rates
System Keying PAY1: Life Insurance Processes
- Enroll a Newly Eligible Employee (75.9 KB)
- Change Coverage (48.2 KB)
- Final Action Notices (FANs) (148.6 KB)
- Premium Waivers (75.9 KB)
- Reinstatement of Life after Waiver (103.7 KB)
- Accelerated Benefit Claim (69.6 KB)
- Transfer Insurance (57 KB)
- Change Smoker Status (59.8 KB)
- Terminate Life Insurance (58.6 KB)
Common Questions and Issues
- Life Insurance Enrollment Issues and Questions
- Can an employee apply for dependent life coverage after the 60-day enrollment period?
- Can an employee apply for life insurance coverage for a spouse or domestic partner after the 60-day enrollment period?
- When a spouse terminates state service, can the spouse transfer life insurance to the employee’s coverage?
WAC References
Audio Visual Aids
- Life Insurance Video (A guide for Pers/Pay staff on filling out the Life Enrollment form and Change form)
