Employee Benefits - Forms
Group Life Insurance
Underwritten by Standard Insurance Company with benefits up to $100,000. This is completely portable with spouse and child coverage and extremely competitive rates.
- Basic Life Benefits at a Glance
- Enrollment/Change Form
- Evidence of Insurability Form
- Beneficiary Designation Form
- Group Life Rates
Voluntary Life Insurance
Underwritten by Standard Insurance Company. Can elect up to five times salary up to a maximum of $500,000. Completely portable or convertible.
- Voluntary Life and AD&D Coverage Highlights
- Enrollment/Change Form
- Evidence of Insurability Form
- Beneficiary Designation Form
- Voluntary Group Life Rates
Short-Term Disability
Underwritten by Standard Insurance Company, it provides full maternity benefits. Benefits are a maximum of $1,000 per week for 12 weeks and are available at extremely competitive rates.
- STD Benefits at a Glance - Employer Paid
- Voluntary STD Coverage Highlights & Rates - less than 10 Employees
- Voluntary STD Coverage Highlights & Rates - 10+ Employees
- Enrollment/Change Form
- Evidence of Insurability Form
Long-Term Disability
Underwritten by Standard Insurance Company with benefits up to $6,000 per month to age 67 (some age restrictions apply). The rates are extremely competitive and the coverage includes additional benefit features such as Disability Plus, Minimum Benefit and a Survivor Benefit.
- LTD Benefits at a Glance - Employer Paid
- Voluntary LTD Coverage Highlights & Rates - less than 10 Employees
- Voluntary LTD coverage Highlights & Rates - 10+ Employees
- Long-Term Disability Enrollment/Change Form
- Evidence of Insurability Form
Long-Term Care
For more information, please contact Emily Olek at eolek@iianc.com or 919-377-1669.
Dental & Vision
Underwritten by Guardian Life Insurance Company, this program gives you the option to enroll in one of two dental plans offered, as well as a separate Vision plan. Plans can be offered as an employer paid benefit or offered on a voluntary basis. Our Guardian dental plans give you the choice of going to an in or out-of-network provider, with the Vision plan using the VSP Provider network. The vision plan provides a $150 allowance on frames and contacts and co-payments for your annual eye exam and materials. Click here to access the Guardian Dental & Vision Enrollment Kit.