Basic Accidental Death and Dismemberment Insurance (AD&D) - Employee

 

Amount of insurance for the employee: 1x annual salary rounded to the next higher $1,000

For more information on the level of coverage including the benefit maximum, reduction of coverage and termination of benefit, please refer to the Benefits booklet available on this site under the «Plan Details» section.

Please complete the beneficiary designation. To do so, at the end of your enrollment, click the «Confirm» button and your beneficiary form will show on your screen. Please print, complete, sign and return this form as indicated in the instructions.