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Life and AD&D Insurance

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Continued Benefits

Conversion and Portability Waiver of Premium
Employee Forms -Provide Evidence of Insurability- Medical History Statement -To Apply for Benefits- Accelerated Benefits Accidental Dismemberment Benefits Accidental Death Higher Education Benefit Life Insurance Benefits -To Continue Your Coverage- Group Life Insurance Portability Application Request for Life Conversion Materials Waiver of Premium Claim Packet Booklet/Brochure Group Additional Life and Voluntary AD&D Insurance Medex® Travel Assist Certificates AD&D Insurance Certificate Life Insurance Certificate Human Resources Forms -Claim Forms- Accelerated Benefits Accidental Death Higher Education Benefit Accidental Dismemberment Benefits Life Insurance Benefits -Coverage Continuation- Group Life Insurance Portability Application Waiver of Premium Claim Packet



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Employee Life and AD&D Insurance with The Standard

Standard Insurance Company provides Life and Accidental Death and Dismemberment (AD&D) insurance to Maricopa County's employees. You are in good company - 17 states and hundreds of cities, counties and school districts across the country rely on The Standard for group insurance.1

1 Based on Standard Insurance Company's internal data as of April 2010