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ING Life, AD&D and Disability Insurance

Life, Accidental Death & Dismemberment and Disability Insurance is provided by ING.

ING (ReliaStar)
Group Number:
67094-4
Customer Service: 800.955.7736
Website: www.ing-usa.com

Same and opposite sex domestic partner coverage is available.

Announcements

Effective September 1, 2010, the District’s Life and LTD carrier is ING/Reliastar as announced in the August 2010 Newsletter, “Peralta Benefits – Everyone.” Enclosed is your copy of the current Life Insurance and Long-Term Disability certificates. You are receiving this mailing because we are required to distribute a hardcopy of these documents to affected employees and retirees due to the recent change in providers. Our records indicate that as of 12/31/10 you met the eligibility criteria for these District-sponsored benefits.

Booklets
 Employee & Retiree ING Life Insurance Booklet  
Click to view
DOWNLOAD

This is the Employee & Retiree ING Life Insurance Booklet.

  File size: 77 K
 Employee Disability Plan Booklet  
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DOWNLOAD

This is the Employee Disability Plan Booklet.

  File size: 80 K
Life Forms
 Death Claim Form  
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DOWNLOAD

This is the ING Life Death Claim Form. (Updated 3-13-2012)

  File size: 366 K
 Conversion Information Request Form  
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DOWNLOAD

This is the ING Conversion Information Request Form.

  File size: 499 K
 Beneficiary Designation Form  
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DOWNLOAD

This is the ING Life Beneficiary Designation Form.

  File size: 62 K
LTD Forms
 LTD Physician's Statement  
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DOWNLOAD

This is the LTD Physician's Statement.

  File size: 168 K
 LTD Employer's Statement  
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DOWNLOAD

This is the LTD Employer's Statement.

  File size: 222 K
 LTD Employee's Statement  
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DOWNLOAD

This is the ING LTD Employee's Statement.

  File size: 231 K
Brochures
 Settlement Options Brochure  
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DOWNLOAD

This is the Settlement Options Brochure.

  File size: 197 K
 Funeral Planning & Concierge Services  
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DOWNLOAD

This is the Funeral Planning & Concierge Services brochure.

  File size: 465 K
 Travel Assistance Brochure  
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DOWNLOAD

This is the ING Travel Assistance Brochure.

  File size: 155 K
Privacy Documents
 ING HIPAA Authorization Form  
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DOWNLOAD

This is the ING HIPAA Authorization Form.

  File size: 83 K
 Consumer Privacy Notice  
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DOWNLOAD

This is the Consumer Privacy Notice.

  File size: 24 K

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