WWU Benefits Forms and Publications Term Life/Accidental Death & Dismemberment Insurance
This page contains a list of term life and accidental death and dismemberment forms and publications. Navigate the left side to find a full list of forms and publications specific to retirement and insurances.
Unless otherwise noted on the form, please send completed documents to the WWU Benefits Office, Mail Stop 9054.
If you prefer to hand-deliver documents or send them through U.S. mail, click here.
Read the form carefully to see whether additional documentation is required.
Be sure to make copies of documents for your records before submitting them as we cannot make copies for you.
If you cannot find a form or publication on this page or through one of the links shown at right, contact firstname.lastname@example.org. One of our team will respond to your request.
Term Life Insurance Forms
Life & AD&D Insurance Enrollment/Chan ges
At any time, you may enroll or make changes to your life insurance. Download this form:
For Conversion: Within 60 days of your or your dependents' coverage termination date, you may apply to convert your group term life insurance to individual whole life insurance.To receive information regarding Conversion Rights, check the Conversion Box on page two of the Group Life Portability Application Form. ReliaStar Life Insurance Company will send you a description of the conversion plan, premiums rates, and an application form. Separating or retiring employees may also contact the Benefits Office for information.