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Life Insurance

Basic Coverage

The County provides each eligible employee with life insurance as follows:

  • At least one, but less than three continuous years of service - $1,000.
  • Three, but less than five continuous years of service - $3,000.
  • Five, but less than ten continuous years of service - $5,000.
  • Ten continuous years of service or more - $10,000.

Supplemental Coverage

Employees in the Exempt, Senior Management, Middle Management, Sheriff's Management, Deputy Sheriffs, Sergeants, and Confidential representation units also receive additional life insurance in accordance with their respective MOU or Resolution.

Optional Coverage

Employees may purchase additional term life insurance, in increments of $25,000, to a maximum of $200,000, at the County's rate. An application form and authorization for payroll deduction are required.

Please note Evidence of Insurability Required for Amounts over $100,000 and any amount after 30 days from date of hire.

Beneficiary: If you are in the retirement system, your beneficiary is the person you listed as your beneficiary for retirement, unless you file a Change Form with Human Resources designating a separate life insurance beneficiary.

Forms for Additional Term Life Insurance (VOYA)


Life Insurance Enrollment Form - Click on Life Insurance and when the Windows box opens up, select SAVE and save to your desktop, print and fill it out.

Evidence of Insurability Form

Evidence of Insurability Form instructions

Life Insurance Change Form - Complete this form if you have any name or address changes, would like to reduce your coverage amount or cancel your coverage.

Life Insurance Rates

Conversion Form - Complete this form to convert your group life insurance to individual life insurance when you leave the County.

Conversion Instructions - Instructions for converting your group life coverage to individual coverage when you leave the County.




 


Human Resources Division

44 North San Joaquin Street
Third Floor Suite 330
Stockton, CA 95202
Phone: (209) 468-3370
Fax: (209) 468-0508