Life Insurance

Benefits Office

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Life Insurance Information

• Application for Supplemental Life Insurance (New York residents)- pdf
• Application for Supplemental Life Insurance (Non-New York residents excluding California residents) - pdf
  If you reside in California, please contact the Benefits Office at 631.344.5126 or 631.344.2877 for an application.
• Information from employee benefit summary - pdf
   

Designating Your Beneficiary For Life Insurance Coverage

The Benefits Office is pleased to announce that employees may now view and make changes to their beneficiary designations for life insurance online through PeopleSoft HR.  To do so, log into PeopleSoft HR and click on the following links:  Employee Self Service / Benefits Home / Life Insurance and then select Edit Your Beneficiary.  We continue to have a beneficiary change form available in the Benefits Office, Bldg. 400B, as well.  You may change your beneficiary for life insurance at any time.  If you are enrolled for supplemental life insurance, your beneficiary for supplemental life insurance is the same as your beneficiary for basic life insurance.

• Beneficiary Designation Form - pdf

To file a claim contact the Benefits Office at 631.344.5126

Last Modified: February 3, 2012
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 the Research Foundation of State University of New York on behalf of Stony Brook University, the largest academic user of Laboratory facilities, and Battelle, a nonprofit, applied science and technology organization.

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