Burlington CSD
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Welcome To Open Enrollment 2025. View Info Here

Burlington CSD
  • Home
  • Quick Links
  • FAQ
  • Understanding Benefits
  • Benefits Dashboard
  • Medical Resources (ICHRA)
  • Medical Resources (UMR)
  • Contact Info

Financial Protection Resources

LIfe, AD&D, and LTD Resources

Life Beneficiary Designation Form - Burlington Community School Dist (pdf)

Download

Securian-MN Life EOI Form- Burlington Community School Dist (pdf)

Download

Voluntary Life and AD&D

 

If you want added protection, you can purchase Supplemental Voluntary Life and AD&D insurance. Coverage options are available for employee, spouse, and dependent children. 

Important: Employee Voluntary Life coverage does not have to be purchased to elect optional life coverage for either a spouse, domestic partner, or child(ren). You pay 100% of the cost for all voluntary coverage. You may have to complete an evidence of insurability (EOI) medical questionnaire to determine whether you or your spouse/ domestic partner is insurable for Voluntary Life insurance amounts. If required, an EOI will be provided to you. 

Coverage OPtions

Employee

Dependent Child(ren)

Employee

If you want added protection, you can purchase Supplemental Voluntary Life and AD&D insurance for yourself up to $500,000 (in $10,000 increments). The guarantee issue amount is $200,000 for employees when elected within 30 days of eligibility. 

Spouse

Dependent Child(ren)

Employee

You may also purchase Voluntary Life insurance for your spouse or domestic partner in increments of $5,000 to the lesser of 50%ofthe employee’s Voluntary Life amount or $250,000. The guarantee issue amount is $30,00 for spouses when  Elected within 30 days of eligibility. 

Dependent Child(ren)

Dependent Child(ren)

Dependent Child(ren)

Optional Voluntary Life insurance provides $15,000 of coverage for each child. 

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