Life
Group Employee Term Life Insurance and Accidental Death and Dismemberment (AD&D) provides $25,000 of coverage to eligible employees. The coverage amount is subject to applicable age reduction for age 75 and older. This policy is not portable, it is convertible.
Aflac Term Life Insurance Conversion Form [PDF]
Aflac Travel Assistance Services [PDF]
Aflac Care Manager Flyer [PDF]
Group Employee Supplemental Term Life and Accidental Death and Dismemberment (AD&D) – you may enroll up to 7 times your annual budget salary up to $1,000,000. The coverage amount is subject to applicable age reduction for age 70 and older. This policy is not portable, it is convertible.
Supplemental Life Summary [PDF]
Group Dependent Term Life – you may enroll your spouse/domestic partner and/or child(ren) up to age 26. This policy does not include AD&D and is not portable, it is convertible.
| Dependent Coverage | Semi-monthly Premium |
|---|---|
| $50,000 Spouse / $25,000 Child | $3.25 |
| $40,000 Spouse / $20,000 Child | $2.60 |
| $30,000 Spouse / $15,000 Child | $1.95 |
| $20,000 Spouse / $10,000 Child | $1.30 |
| $10,000 Spouse / $5,000 Child | $0.65 |
Beneficiary Designation Form [PDF] – To update your Basic and Supplemental Life Insurance Beneficiaries.
Concierge Services Flyer [PDF]
Individual Universal Life – is a permanent policy which provides both death and living benefits to help pay for long term care expenses, mortgage, bills and funeral/burial costs. You may enroll you and your eligible spouse/domestic partner up to $300,000. You may enroll your children up to the age of 24. This policy is portable. This benefit is not on PeopleSoft.
To Enroll: trustmark.benselect.com/UHS
Trustmark Universal Life Rates [PDF]
Trustmark Beneficiary Form [PDF]
Trustmark Name Change Form [PDF]
Trustmark Address Change Form [PDF]
Trustmark Universal Life Child Rates [PDF]
Continue Policy on a Direct Basis [PDF]
Trustmark Policy Surrender & University Health Payroll Cancellation Forms [PDF]