TIME SENSITIVE INFORMATION !!
Accidental Death Benefit
New Member Benefit for CSEA members only!
No Premiums | No Application | No Kidding!
There’s no application to fill out, no premiums to pay. There’s no cost to you.
The following links provide forms for your accidental death benefit certificate and beneficiary forms:
Accidental death certificate of insurance
Accidental death beneficiary form*
*NOTE: Once you print this form, please return the signed copy to:
Attn: Insurance Dept.
143 Washington Avenue
Albany, NY 12210