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Eligibility
Eligibility is the same as specified for medical and dental plans, except retiree term life insurance is only available to those who:
- Meet the Public Employees Benefits Board (PEBB) Program's retiree eligibility requirements and are enrolled in life insurance through the PEBB Program as an active employee. AND
- Are not on a waiver of premium due to disability.
Dependents of retirees are not eligible for retiree term life insurance.
Amount of Insurance
The amount of insurance paid to your beneficiary is based on your age at the time of death, according to the following schedule:
| Age at Death | Amount of Insurance |
| Under 65 | $3,000 |
| 65 through 69 | 2,100 |
| 70 and over | 1,800 |
Premium Cost
The cost is $6.57 per month, regardless of your age.
Enrollment
Complete the Retiree Coverage Election Form and return it to the PEBB Program within 60 days of the date your employer-paid coverage ends.
Effective Date
If you complete the Retiree Coverage Election Form within 60 days after the date your employer-paid coverage ends, your retiree term life insurance becomes effective on the first of the month after losing employer-paid coverage.
No Exclusions
This plan covers death from any cause.
Disability
If you become disabled after the effective date of this insurance, you must continue making premium payments to keep your insurance in force.
If You Return to Work
Effective January 1, 2012, you are no longer required to continue to pay for your PEBB retiree life insurance if you return to work and are eligible for the employer contribution toward PEBB employee life insurance. If you choose to maintain your retiree term life insurance, you must continue to pay the monthly premium. If you choose not to pay for your retiree life insurance while you're employed, you must submit a completed Life and AD&D Insurance Enrollment/Change Form to your employer's personnel, payroll, or benefits office.
You must resume paying premiums for your retiree life insurance no later than 60 days after you are no longer eligible for the employer contribution toward PEBB employee life insurance. Your retiree life insurance would start the first of the month after losing eligibility for the employer contribution.
Beneficiary
You may name any beneficiary you wish when you complete the enrollment form. If you should die with no named living beneficiary, payment will be made to your survivors in this order:
- Spouse/Washington State-registered domestic partner
- Children
- Parents
- Estate
If you are married and wish to name someone other than your spouse/domestic partner as beneficiary, or if you have special estate planning needs, you should seek legal/tax advice before completing your beneficiary designation.
Claim Filing
In the event of your death, your beneficiary should submit a certified death certificate and proof of loss claim forms within 90 days of the date of your death to ING, Life Claims, P.O. Box 1548, Minneapolis, MN 55440-1548, or call them at 1-800-328-4090. Please notify the PEBB Program of the death so appropriate adjustments can be made to the account. We may share this information with the Department of Retirement Systems to better serve your survivors.
Insurance Certificate
This is a brief summary of the Retiree Term Life Insurance Plan. Read the 2011 or 2012 Certificate of Insurance or call ReliaStar Life Insurance Company toll-free 8 a.m. - 4 p.m. Central Standard Time at 1-866-689-6990.
