Life Insurance

Benefits Office

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Life Insurance Information

Contract Number: 0044185

• Information from Employee Guide (SPD) - pdf
• Forms
  • Beneficiary designation/change form - pdf
    Send completed form to Benefits Office, Bldg. 400B
  • Application for additional life insurance (questionnaire) - pdf
    Send completed form to Prudential at address on the form
• To file a claim contact the Benefits Office at 631.344.7516
• Insurance certificates
  • Active employees - pdf
  • Disabled employees - pdf

Last Modified: January 5, 2009
Please forward all questions about this site to: Melissa Bittrolff

One of ten national laboratories overseen and primarily funded by the Office of Science of the U.S. Department of Energy (DOE), Brookhaven National Laboratory conducts research in the physical, biomedical, and environmental sciences, as well as in energy technologies and national security. Brookhaven Lab also builds and operates major scientific facilities available to university, industry and government researchers. Brookhaven is operated and managed for DOE's Office of Science by Brookhaven Science Associates, a limited-liability company founded by Stony Brook University, the largest academic user of Laboratory facilities, and Battelle, a nonprofit, applied science and technology organization.

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