Life Insurance 2011-2012

Life insurance is provided through Humana, Inc.

Basic Life Insurance Coverage. Pima County provides $50,000 of Basic Term Life Insurance and Accidental Death and Dismemberment (AD&D) Insurance for all insurance eligible employees at no cost to the employee.

Supplemental Life Insurance Coverage is available and fully payable by eligible employees for as much as four times the employee's salary, but not to exceed $500,000. An additional AD&D policy may be elected for eligible employees and families.

Dependent Life Insurance Coverage for the eligible employee's spouse and eligible children may also be elected and is fully payable by the employee. Dependent Life costs $.63 per pay period.

If additional life insurance coverage is not elected during the first 31 days of employment, you will be required to complete an Evidence of Insurability (EOI) form (medical history statement) for any insurance coverage increase requested during open enrollment.

Premiums are based on your age and wage. You can determine your bi-weekly deductions by clicking on the Life Insurance Premiums calculator below and entering the sections in yellow or you can contact your department benefits representative.

Links to:

Life Insurance Premium Calculator

Evidence of Insurability (EOI) Form
Submit this completed form to:

Humana, Inc., Underwriting Department
20860 N. Tatum Blvd, Ste 400
Phoenix, AZ  85050
Fax: 1-888-235-3260
Email address: PimaEOI@humana.com  

Basic, Supplemental and Dep Life Group Number: 561416

Voluntary AD&D Group Number: 0015858-30

Humana Life Insurance Brochure

Humana Phone Number: 800-233-4013

Life Insurance Enrollment Form

Certificate of Insurance – Basic Life and AD&D

Certificate of Insurance – Supplemental Life and Dependent Life

Certificate of Insurance – Voluntary AD&D