Get Mainepers Org

This guide provides step-by-step instructions for completing the Mainepers Org application for group life insurance. By following these guidelines, users can ensure they correctly fill out the necessary information and complete the process.

Follow the steps to effectively complete your application for group life insurance.

1. Click the ‘Get Form’ button to obtain the Mainepers Org application for group life insurance and open it in the editor.
2. Begin filling in your personal information. Enter your full name, including prefix and suffix as applicable, and your social security number.
3. Provide your mailing address, including street or PO Box, city or town, state, and ZIP code.
4. Indicate your date of birth in the format of mm/dd/yyyy.
5. Select your gender by checking the appropriate box — Male or Female.
6. Decide on your coverage options. Check the box for the coverage you would like, whether Basic, Supplemental, or indicate if you refuse all coverage.
7. If choosing dependent coverage, select from Dependent Plan A or Plan B. Additionally, provide the requested information for dependents you wish to insure.
8. Fill in the details for your spouse or children as required, including their names, birth dates, and social security numbers if applicable.
9. Sign and date the application at the bottom of the form to validate your submission.
10. Once all sections are completed, review the application for accuracy before submitting it to your employer.

Complete your application for group life insurance online today!