How to Enroll

You’ve made the decision to enroll for Voluntary Term Life Insurance coverage, underwritten by Aetna Life Insurance Company (Aetna). But how much coverage is enough? How much does the coverage cost? And how do you enroll for coverage?

To help guide you toward making this important decision, take these steps. These are tools to help you along the way.

Step 1: Selecting the right amount of insurance coverage

First, review your financial needs by using our helpful Life Calculator Worksheet. Answering the simple but important questions on the worksheet will help guide you toward a recommended coverage amount.

Step 2: Calculating your allotment

You determined the amount of life insurance coverage that will fit your individual needs and financial situation. Now it’s time to learn how much that insurance coverage will cost. Our Allotment Calculator will help you calculate the cost of insurance and your bi-weekly premium allotment . Premiums are based on your age and the amount of coverage you elect for yourself. For coverage on your spouse and dependent child(ren), the allotment is based on your age and the option you select for them.

Step 3: Enrolling

It’s easy. You can complete and submit an enrollment form online, by fax or by mail to the FEDERAL FIRST Service Center.

  • Enroll Online

    Complete and submit an online enrollment form through our secure website here.
  • Enroll by fax or mail

    Download an enrollment form from our Forms Download. Then complete and send it to us:
    • By fax to 214.252.0312 or
    • By mail to the following address:



      FEDERAL FIRST Service Center

      P.O. Box 191029

      Dallas, TX 75219-1029

You’ll also need to complete an Evidence of Insurability Statement if you are a newly eligible employee electing coverage in excess of the guaranteed acceptance amount or you are a late enrollee electing coverage after the 60-day period following your eligibility date. Aetna will send you an Evidence of Insurability Statement with instructions. You will complete the statement and send it directly to Aetna for processing.

Starting Your Allotment

Whether you enroll online, by fax or by mail, once your enrollment form has been successfully processed the FEDERAL FIRST Service Center will send you a direct deposit sign-up Form 1199A along with instructions for processing.

Effective Date of Coverage

The effective date of your coverage will be determined when your first allotment is received . If you need to submit an Evidence of Insurability form, coverage will not be effective until Aetna has approved that amount of coverage and your first allotment for that additional coverage is received.

For example: A newly eligible employee elects $150,000 Voluntary Term Life Insurance coverage during the 60-day period following their eligibility date. Their base annual earnings are $55,000.

  • Step 1:

    Under the guaranteed acceptance rules, the employee is enrolled for $100,000 of coverage without providing evidence of insurability . FEDERAL FIRST sends the employee a Form 1199A showing information associated with the $100,000 coverage amount.
  • Step 2:

    To start allotments, the eligible employee signs and submits the completed 1199A to their payroll servicing personnel for processing. The effective date for the $100,000 coverage amount is the first day of the pay period in which the allotment is taken.
  • Step 3:

    The eligible employee must provide evidence of insurability to Aetna for the additional amount of insurance requested of $50,000. Upon receiving approval of the additional coverage amount from Aetna, FEDERAL FIRST will send an updated Form 1199A with coverage and allotment information to the eligible employee.
  • Step 4:

    To update and increase the allotments, the employee signs and submits the completed 1199A to their payroll servicing personnel for processing. The effective date for the additional $50,000 coverage amount is the first day of the pay period in which the new allotment is taken.

 

This voluntary term life insurance program contains Limitations and Exclusions.

Policy forms issued in OK include: GR-9/GR-9N.

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