You can enroll online or by sending a completed enrollment form to FEDERAL FIRST Customer Service. Forms can be downloaded from the Forms Download page.
A Direct Deposit Sign-Up Form 1199A will be mailed to you once your enrollment form is processed. Please use this Form 1199A to initiate your allotment through Employee Express, Employee Personal Page (EPP) or submit your signed form to your payroll servicing personnel for processing.
Please note that coverage under this policy will not become effective until premiums are deducted. You’re responsible for making sure the Direct Deposit Sign-Up Form 1199A is successfully implemented and premiums are deducted. Please don’t return the Form 1199A to FEDERAL FIRST; returning your signed Form 1199A to FEDERAL FIRST Customer Service will delay processing of your allotment and may cause your file to be closed.
When you participate in the FEDERAL FIRST Voluntary Term Life Insurance Program, underwritten by Aetna Life Insurance Company (Aetna) your cost of insurance is paid through allotments while you are an actively-at-work employee .
Do I need to have a physical exam or answer medical questions?
If you enroll during your introductory enrollment period you may purchase the following Voluntary Term Life Insurance coverage amounts without answering medical questions or providing evidence of insurability.
Evidence of insurability is required:
When will my coverage be effective?
Your coverage is effective the first day of the pay period in which an allotment is taken. In no event will your effective date be earlier than the Group Effective Date or the date you enroll. You must be actively-at-work on the effective date of your coverage; otherwise, your coverage becomes effective when you return to work for at least one day.
If the coverage you elected requires that you provide evidence of insurability, that coverage must be approved by Aetna before a Direct Deposit Sign-Up Form 1199A is mailed to you.
What are considered qualifying events for Family Status Change?
Some examples of qualifying events are marriage, death of spouse, divorce, legal separation, annulment, birth of a child and adoption.
Can I enroll if I experience a qualifying Family Status Change event such as marriage, birth of a child, adoption, etc?
Yes. If you enroll within 31 days of a qualifying life event you may add or increase your coverage by one increment of $10,000. You may also add or increase your spouse and dependent children coverage by one level or option.
How do I request an enrollment package?
To have an enrollment package sent to you, please complete our Enrollment Materials Request Form or call FEDERAL FIRST Service Center at 1-800-233-0438.
Whom do I contact for more information?
If you have any questions about enrollment or want to request an enrollment package, please email FEDERAL FIRST Customer Service here.
This voluntary term life insurance program contains Limitations and Exclusions.
Policy forms issued in OK include: GR-9/GR-9N.
Privacy Statement ©2008 FEDERAL FIRST
Form 26.36.318.1 (06-08)