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Life Insurance Enrollment and Change Forms for EXEMPT Employees

If you are CAREER SERVICE EXEMPT, you may be eligible to enroll in Exempt Life Insurance (state-paid). See below for the applicable enrollment, disclosure and change forms.

Information about life insurance for CAREER SERVICE employees, can be found here.

For questions, please contact the Employee Resource Information Center (ERIC) at 801-538-3742.

State-Exempt Group Term Life Enrollment Form

Disclosure Form

Group Term Life Change Form

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