Employee Enrollment Form (.pdf) »
Employee Enrollment Form (online) »
Beneficiary Change Form (.pdf) »
Change/Update Contact Information Form – members (online) »
Certificate of Coverage Request Form – members (online) »
Conversion Application Form – members (,pdf) »
Life Insurance Cancellation Form – members (online) »
Monthly Auto Pay Form – members & employers (online) »
Death Claim Form (.pdf) »
$16 Plan Summary Brochure (SRS IL) »
$16 Plan Overview Enrollment Video »
NCPERS Life Insurance Program Webinar »