Open Enrollment Period: March 25th - April 1st

ALL EMPLOYEES must complete and sign the Benefit Election Form which includes coverage elections for medical, dental, and vision. The Benefit Election form is located in the attached Benefit Alert Newsletter.

If you are currently enrolled in the voluntary life coverage and keeping coverage for 2023, there is nothing you need to do as coverage elections will rollover. If you are enrolling in the voluntary life coverage outside your initial new hire enrollment period, you will need to complete the attached Lincoln application and Evidence of Insurability Form. Once complete it will be reviewed by Lincoln, which they will then approve or deny the coverage.

Voluntary Life Enrollment Form - Complete the following sections:

Section 1

Section 2

Section 3 - Voluntary / Optional Group Insurance Only

Section 4 - Beneficiary

Section 5

Section 6

You can complete the Evidence of Insurability form online at www.mylincolnportal.com using company code STELLAM . the Voluntary Life rate chart is included in the Voluntary Life Lincoln benefit summary, which is attached.

Please be sure to review your beneficiary for your employer paid life annually. If you are making changes to your beneficiary, please submit a new beneficiary form to HR.

Please return all forms to HR by March 21, 2023