Standard Life Insurance

Basic Life and AD&D

In the event of your death, Life Insurance will provide your family members or other beneficiaries with financial protection and security. Additionally, if your death is a result of an accident or if you become dismembered, your Accidental Death & Dismemberment (AD&D) coverage may apply.

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Your Coverage

Paid for in full by the Joint Health Management Board, the benefits outlined below are provided by The Standard:

Age of Insured	Benefit Amount
Less than 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70+	$30,000 Regardless of Age

IRS Regulation: Employees can receive employer paid life insurance up to $50,000 on a tax-free basis and do not have to report the payment as income. However, an amount in excess of $50,000 will trigger taxable income for the “economic value” of the coverage provided to you.

Required! Are Your Beneficiaries Up to Date?

Beneficiaries are individuals or entities that you select to receive benefits from your policy.

You can change your beneficiary designation at any time (Community property rules may apply. Please refer to plan summary or forms for information.)
You may designate a sole beneficiary or multiple beneficiaries to receive payment in the percent allocated
To select or change your beneficiary, fill out the form below.

Beneficiary Designation Change Form

Standard Beneficiary Designation Change Form Download Designation Change Form

Basic Life & ADD Benefits at A Glance

Standard Basic Life ADD Benefits at a Glance Download Document

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Standard Life Insurance

Basic Life and AD&D

Your Coverage

Required! Are Your Beneficiaries Up to Date?

Beneficiary Designation Change Form

Basic Life & ADD Benefits at A Glance

Related Documents

Basic Life Certificate

Additional Life Certificate

Additional Life Reference Guide

Portability Insurance Application

Medical History Statement