Get Oya Life And Ad&d Insurance Form - Isaac School District - Isaacschools

Filling out the Oya Life And AD&D Insurance Form is an important step for employees at Isaac School District to secure their insurance benefits. This guide provides clear, step-by-step instructions to help users navigate the form efficiently and effectively.

Follow the steps to complete the Oya Life And AD&D Insurance Form online.

1. Click the ‘Get Form’ button to access the Oya Life And AD&D Insurance Form and launch it in your preferred editor.
2. In the top box, ensure that the employer or plan sponsor details are accurately filled in with 'Isaac School District' as the Name of Employer/Plan Sponsor, along with the Class/Occupation and Group/Plan Number.
3. Provide your annual salary and account number/location as indicated. Fill in your date of hire using the mm/dd/yyyy format.
4. Select your employment status from the options provided: Active Full-Time, Active Part-Time, or Retired.
5. Indicate the effective date of your coverage and check any applicable reasons for change in coverage, such as being a late entrant, following hire eligibility, or other relevant changes.
6. Complete the employee information section by entering your name, date of birth, social security number, work and home phone numbers, employee address, and employee ID number.
7. Select your gender and decide on your life insurance elections. You can choose to enroll in Basic Life insurance, which is provided by your employer, and additional supplemental life insurance if desired.
8. Fill in how much supplemental life insurance you currently have and how much additional coverage you are applying for, ensuring it follows the specified increments.
9. Determine your selection for the Employee Accidental Death & Dismemberment (AD&D) insurance and indicate whether you elect coverage or choose to waive it.
10. Designate your beneficiary information by providing their name, address, date of birth, relationship to you, and benefit percentage.
11. Complete the sections for dependent spouse life and AD&D insurance if applicable, following similar instructions for coverage amounts.
12. If applicable, fill out the dependent child(ren) life insurance section, selecting coverage amounts based on the given guidelines.
13. Review all filled sections for accuracy before signing and dating the form at the bottom, affirming your understanding of the coverage and premium deductions.
14. Finally, once the form is complete, you can save changes, download, print, or share your filled form as required.

Start completing your Oya Life And AD&D Insurance Form online today to secure your benefits.