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The Pension Boards - United Church of Christ Inc
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Life & Disability Forms

Domestic Partnership Statement of Financial Interdependence Form *

Life Insurance (LIDI) Designation of Beneficiary Form

Life Insurance and Disability Income (LIDI) Benefit Plan Enrollment Application *

Life Insurance and Disability Income (LIDI) MetLife Enrollment Change Form

Optional & Additional Life Insurance Forms

Optional Additional Death Benefit Designation of Beneficiary Form

Statement of Dependent Eligibility Beyond Limiting Age in Plan Due to Mental or Physical Handicap

Statement of Health Form

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475 Riverside Drive, Room 1020, New York, NY 10115  •  Phone: 800.642.6543  •  Fax: 212.729.2701 •  E-mail: [email protected]