The Standard

Active Member
My age on July 1 of this year is:

Amount of Life and AD&D coverage I'd like to apply for:



Estimated Monthly Premium:

Spouse/Domestic Partner of Active Member
Spouse/Domestic Partner age on July 1 of this year is:

Amount of Life coverage I'd like my spouse to apply for: (Note: Rates for spouse coverage are based on the age of the spouse. If you were insured for Spouse Life coverage on June 30, 2011, the amount of your Spouse Life coverage on and after July 1, 2011 may not exceed 100% of your Life insurance, plus $10,000. Otherwise, for any member who applies for Spouse Life coverage after July 1, 2011, coverage may not exceed 100% of your Life insurance.)



Estimated Monthly Premium:

Child(ren) of Active Member
Option 1: $2,500	$0.30 per member, regardless the number of dependents
Option 2: $5,000	$0.60 per member, regardless the number of dependents
Option 3: $7,500	$0.90 per member, regardless the number of dependents
Option 4 $10,000	$1.20 per member, regardless the number of dependents

For answers to commonly asked questions, exclusions, limitations and reductions, please review the Voluntary Life and AD&D Insurance Booklet for Active Members and Certificate of Insurance for more detailed information.

The decision support tool video below explains how your Voluntary Life with AD&D plan works and what you need to do to enroll.

Needs Estimator: Estimate how much life insurance you may need.

Premium Calculator: Determine the cost of your life insurance.

State of Nevada