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Get the free Group Enrollment Form – Basic Life and AD&D Only

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This document is for employees of the Palo Alto Unified School District to enroll in Basic Life and Accidental Death and Dismemberment (AD&D) insurance coverage provided by Sun Life Assurance Company
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How to fill out Group Enrollment Form – Basic Life and AD&D Only

01
Obtain the Group Enrollment Form from your employer or benefits administrator.
02
Fill in your personal information, including full name, date of birth, Social Security number, and contact information.
03
Provide the details of your employment, such as your job title and department.
04
Indicate your desired coverage amount for Basic Life and AD&D insurance.
05
List any requested beneficiaries, including their names, relationship to you, and contact information.
06
Review the form for accuracy and completeness.
07
Sign and date the form to confirm that the information provided is correct.
08
Submit the completed form to your HR department or designated benefits administrator.

Who needs Group Enrollment Form – Basic Life and AD&D Only?

01
Employees who are eligible for Basic Life and AD&D insurance coverage through their employer.
02
New hires who are enrolling in employee benefits for the first time.
03
Employees who are making changes to their current insurance coverage or beneficiaries.
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People Also Ask about

AD&D is cheaper than term life insurance It may offer lower premiums than you would pay for term life insurance. The covered events are much more limited, however, and your family will not collect a death benefit from AD&D if you die of natural causes.
What is AD&D insurance? Accidental death and dismemberment (AD&D) insurance is a category of life insurance that only pays out a death benefit when the insured is in a covered accident that causes death or specific serious injuries such as paralysis, the loss of a limb, eyesight, hearing, or speech.
You may want both life insurance and AD&D insurance depending on your personal needs. For individuals in high-risk jobs or for parents of young children who cannot afford a gap in income due to an accident, AD&D insurance may be particularly important.
Group Life and Accidental Death and Dismemberment (AD&D) insurance can help make life without us easier for the people we care about. Life insurance can protect the people you care about if you're no longer here to provide for them.
Group Life and Accidental Death and Dismemberment (AD&D) insurance can help make life without us easier for the people we care about. Life insurance can protect the people you care about if you're no longer here to provide for them.
Simply put, AD&D covers only accidents, while life insurance covers death from any cause. Read on for a more detailed look at both.
Accidental Death & Dismemberment insurance is part of your basic life insurance and provides specified benefits for a covered accidental bodily injury that directly causes the loss of a hand, foot or eye.
Accidental Death & Dismemberment (AD&D) is a plan that pays a benefit if you lose your life, limbs, eyes, speech or hearing due to an accident. Full-time regular staff are eligible for AD&D coverage. You enroll as a new hire by using My VU Benefits.

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The Group Enrollment Form – Basic Life and AD&D Only is a document used to enroll eligible individuals in a basic life insurance and accidental death & dismemberment (AD&D) insurance plan.
Employees who wish to enroll in the Basic Life and AD&D insurance plan are required to file the Group Enrollment Form.
To fill out the form, individuals must provide personal information such as their name, date of birth, contact details, and beneficiary information as instructed in the form.
The purpose of the form is to officially enroll employees in the insurance plan, ensuring they have coverage for basic life and accidental death or dismemberment.
The form must report personal details including the employee's full name, social security number, date of birth, address, phone number, and beneficiary designation.
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