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CITY OF SPRINGFIELD, OREGON HUMAN RESOURCES Departmental of Hire: ___ Benefits Effective Date: ___ (Coverage is effective the first of the month and premium is not prorated.) New Hire Rehire Qualifying
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How to fill out supplemental life and adampampd

01
Determine how much supplemental life and AD&D coverage you need by considering your current financial obligations and future expenses.
02
Review the options provided by your employer or insurance provider for supplemental life and AD&D coverage.
03
Fill out the necessary forms with accurate information about yourself and your beneficiaries.
04
Submit the completed forms to your HR department or insurance provider for processing.
05
Keep a copy of the forms for your records and review the details of your coverage regularly to ensure it meets your needs.

Who needs supplemental life and adampampd?

01
Individuals who have dependents relying on their income for financial support.
02
People with high-risk jobs or hobbies who may benefit from additional accidental death and dismemberment coverage.
03
Anyone looking to supplement their existing life insurance policy for added financial protection.
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Supplemental life and AD&D (Accidental Death & Dismemberment) are additional insurance policies that provide extra coverage in the event of death or accidental injury.
Employees who wish to have additional coverage beyond the standard life and AD&D insurance provided by their employer may choose to file for supplemental life and AD&D coverage.
To fill out supplemental life and AD&D coverage, employees typically need to complete a form provided by their employer and may need to provide additional information such as beneficiaries and coverage amounts.
The purpose of supplemental life and AD&D coverage is to provide individuals with extra financial protection for themselves and their loved ones in the event of death or accidental injury.
Information that may need to be reported on supplemental life and AD&D coverage includes personal details, beneficiaries, coverage amounts, and any additional information requested by the insurance provider.
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