Office of Group Benefits (Prudential) Life Insurance Forms and Plan Document
The LSU System announced that The Hartford has been chosen as the new plan administrator for the LSU System Life Insurance Plan effective July 1, 2009. The Open Enrollment period for this Plan is during the month of May with an effective date of July 1, 2009. However, The Hartford will also offer another Open Enrollment period during the month of September with an effective date of November 1 for those employees who miss the May enrollment deadline. Informational meetings conducted by The Hartford will be held during the open enrollment period in September.
Employees who are currently enrolled in the LSU System Life Insurance Plan through ING will automatically be converted to The Hartford Plan. If you are currently enrolled in the LSU Voluntary Life Plan through ING, the only reason to submit an enrollment form is to increase your and/or dependent’s coverage. Employees and/or dependents who are currently under ING’s review for medical underwriting will also be given the opportunity to elect The Hartford’s Plan during May and September on a Guaranteed Issue basis. During the months of May and September, every eligible employee will be allowed to enroll or increase their coverage up to 5 times their annual base salary up to $500,000 guaranteed issue. Employees will also have the opportunity to elect coverage on their spouses up to ½ of the employee’s amount for a maximum of $ 100,000 guaranteed issue.
Enrollment Forms, a Plan Summary sheet outlining detailed information regarding this change, and brochures for the extra added benefits with The Hartford Life Insurance Plan are listed below. This information is also available in the Office of Human Resource Management, Administration Building, AD 109.
CLICK HERE for the Hartford Life Insurance Enrollment Form
CLICK HERE for the Hartford Life Evidence of Insurabillity
CLICK HERE for the Hartford Life Beneficiary Form
CLICK HERE for the Hartford Life Insurance Plan Document
CLICK HERE for information on the Hartford Life Beneficiary Assist Program
CLICK HERE for information on the Hartford Life Employee Travel Assistance Program
CLICK HERE for information on Estate Guidance
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Accidental Death & Dismemberment (AD&D)
(administered by The Hartford)
This benefit pays in the event of death or dismemberment resulting from an accident. This benefits is offered to eligible employees and eligible family members.
Click here for the plan booklet
Eligibility
Any active employee of LSUS is elgibile for health insurance provided the following:
Enrollment
Click here for more information, rates and the enrollment form
Terminating Employment
If you leave LSU employment, your AD&D policy will end at the last day of the month in which you leave LSU. You will be able to convert your AD&D policy after employment. Please complete the form below and forward it to Hartford directly to convert your policy.
Click here for the enrollment form to convert your policy
Note: Form must be completed by LSU HRM before submission
Retirees: You will be able to continue your AD&D coverage for you and your eligible family members. Retirees must elect to continue coverage.