getacro.gif (712 bytes)Life Insurance   **Required**

 


 Click here for Video

Life Insurance
One of the most important benefits offered to district employees is life insurance.  The school provides $12,000 of term life insurance to all employees at no charge ...

View list of all benefits videos...

    Enrollment Form for Life Insurance

This is the form employees need to complete to enroll in Optional Term Life Insurance for the first time or to increase their already existing coverage by MORE than $50,000.  (Please complete part I and II.)

  1. Part I - Life Insurance Enrollment Form  (pdf)

  2. Part II - Evidence of Insurability  (pdf)8-03-09
LIFE INSURANCE:  Calculating Your Cost of Coverage
Your monthly cost of insurance will depend on your age and the amount of insurance you wish to purchase.  Note that at age 65 your benefits are reduced.
Age Bracket   
Coverage        

Number of Units

 X Cost per Unit = Monthly Rate
- X - = - per month

 
      

     Group Term Life/Accidental Death and Dismemberment Insurance

(District paid-for benefit is $12,000 term life and AD&D.  May purchase more coverage through payroll deduction.)

  1. Information  (pdf)

  2. Confidentiality and Disclosure Statement  (pdf)

  3. Beneficiary Change Form  (pdf)

  4. Group Term Life and Voluntary AD&D Plan Document  (pdf)

    Phone Numbers

Fort Dearborn Term Life & Voluntary Accident Insurance
 1-800-778-2281 (press 1 for Group Insurance)11-05-08