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New Hire enrollment Forms - within 31 days of hire
Enrollment at a Glance brochure (Rates for all coverage included) [English Spanish - French]
Basic-Supplemental Life and LTD Enrollment Form [English - Spanish - French]
Basic Plan A or B enrollment Form (Completed only by new hires waiving the Standard Plan)
Personal Accident Insurance Enrollment Form (PAI) (Combined Employee/Employer paid AD&D)

 

Hartford Forms

HARTFORD - for all events occurring prior to 01/01/2013

Hartford Group Life Insurance (to be used if death occurred prior to 01/01/2013) Hartford Long Term Disability (to be used if last day worked was prior to 01/01/2013) Hartford Supplemental Life Insurance (to be used if last day worked was prior to 01/01/2013)