Public service insurance plan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with the 'Initial Application' section. Fill in your name, initial, and surname clearly. Ensure that your mailing address is accurate for correspondence.
3. Indicate your date of birth and sex. This information is crucial for processing your application.
4. In the 'Beneficiary' section, provide the name and relationship of your chosen beneficiary. Remember, you can revoke this appointment later if needed.
5. Next, confirm your employee coverage by selecting 'YES' or 'NO' for Basic Life Insurance and any optional coverage you wish to apply for.
6. If applicable, indicate if you are insured under another group insurance plan and provide the last day of coverage.
7. Authorize deductions from your pay for necessary premiums by signing and dating the authorization section at the bottom of the form.

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