Life Insurance Benefits Carrier

Toll-Free Phone: (800) 732-1603

Policy or Group Number
Life Insurance: FLX963509
AD&D: OK965142

Policy Anniversary Date
July 01 – June 30

Employee Eligibility
Please refer to your employee work agreement

Dependent Eligibility
Dependents are not eligible for this benefit

Waiting Period
(Time employee must wait before being eligible to enroll)
Date of hire

Initial Enrollment Period
(Time frame after the waiting period during which employee must enroll)
30 days

Coverage Termination Date Upon Loss of Eligibility
The last day of the month in which you cease to meet eligibility requirements

CIGNA Supplemental Life Insurance
CIGNA Group and Supplemental Life Insurance Summaries
CIGNA Added Benefits
CIGNA Life Assistance Program
CIGNA Secure Travel Program
CIGNA My Secure Advantage Program (Identity Theft, Money Coaching and Will Preparation)

For questions regarding Employee Benefits, contact:

Chris Steffen, Human Resources Coordinator
(952) 856-4513

Benefits Administration Contact:

PlanSource Benefits Administration: Tamara Knapp

Flexible Spending Accounts/HRA/VEBA Contacts:

Local Phone: (800) 859-2144

COBRA/Retiree Contact:

BRI: Julie Dickens