reliance standard

lIFE AND ad&d

Basic life and AD&D (Policy # 166103)
Voluntary Life (Policy #166100)
voluntary AD&D (policy #210452)

• Supplemental Life/AD&D Enrollment Form (updated 11/1/2022)

• Life/AD&D Beneficiary Form

EVIDENCE OF INSURABILITY (EOI):

• Evidence of Insurability Form

  Evidence of Insurability Links (any EOIs that are submitted will be sent to Reliance’s medical underwriting team). Please provide below listed links applicable to your PUD to your employees. You will receive an email from Reliance (norma.cooper@rsli.com) on the first of each month to provide you with a status update on EOI applications received by your employees.

  • Benton PUD

  • Douglas PUD

  • Ferry PUD

  • Franklin PUD

  • Grant PUD

  • Okanogan PUD

  • Pend Oreille PUD

• EOI Instructions

• EOI Medical Underwriting Workflow

PORTABILITY/CONVERSION:

• Comparison of Life Conversion vs. Portability

• Life and AD&D Portability Application (Life and AD&D)

  • Add policy number in field 4 - Policyholder/Participating Unit No. ___ A separate form is required for each policy.

• Life Conversion Application (Life only)

  • Separate form is required for each policy.

  • Life Conversion Rates

CLAIM

• Life and AD&D Claim Form