AD&D/Life Insurance - Wayne County, Ohio 8 AD&D-Life Insurance.pdf · Wayne Township YOU DO NOT...
Transcript of AD&D/Life Insurance - Wayne County, Ohio 8 AD&D-Life Insurance.pdf · Wayne Township YOU DO NOT...
If you are an eligible full-time employee, you are entitled to an Accidental Death
& Dismemberment / Life Insurance Policy at no charge. Eligible individuals are
full-time employees of the following agencies:
Wayne County
Apple Creek Village
Chester Township
Congress Township
Dalton Village
East Union Township
Shreve Village
Smithville Village
Sugar Creek Township
Wayne Township
YOU DO NOT NEED TO ENROLL FOR OTHER BENEFIT PLANS TO RECEIVE THIS BENEFIT!
IMPORTANT! It is the employee’s responsibility to maintain current beneficiary information. If,
for any reason, you change your beneficiary for life insurance, please fill out the form at the back of
this section and give to your payroll person.
This insurance terminates upon your departure from employment. Life Insurance information was
provided to you at the time of your hire. However, if you desire another copy of your Life Insurance
benefits, please call our HR Benefits Specialist at 330-287-5409.
When it comes to your health, knowledge
is the key. By taking a Health Risk
Assessment (HRA) you take a snapshot of
your current health condition and then you
are able to look at your current
AD&D/Life
Insurance
Forms
Please photocopy all forms, keeping the
originals in your binder, so that you can
continue to use in future years.