Western Area School Health Benefit Plan Western Area School Health Benefit Plan




Life Insurance

Group Life

Basic life and AD&D is provided in the amount of $10,000. The basic amount can vary based upon the classification of the employee and school district. Please defer to the district's/agency's Insurance Representative to determine the amount of coverage your district/agency provides.

Dependent life is also available to some districts/agencies. Please see your district's/agency's Insurance Representative.

Voluntary Life

Do you need more life insurance?
Take an inventory of your finances and think about how your loved ones would get by without you. You may find you're not adequately covered. That's why your employer has arranged to enhance your benefits package by adding voluntary term life insurance through Mutual of Omaha.

The plan's many valuable features include:

  • Affordable group term life rates paid through convenient payroll deduction.
  • Coverage available for your spouse and dependent children.
  • Guaranteed coverage for certain benefit amounts.
  • Easy enrollment.
  • Portable coverage that may remain with you if you leave your job.

Designation of Beneficiary Form.pdf

Change Request Form

Benefit Summary (12 pays)

Benefit Summary (24 pays)

Evidence of Insurability Form

Portability Request Form

Life Conversion Request Form (Basic life insurance)

Life Conversion Request Form (Voluntary life insurance)

Mutual of Omaha — Ancillary Products

Travel Assistance

Will Prep

Hearing Aid Assistance


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