Enrollment Booklet 2009This booklet contains information describing the voluntary life, disability and legal insurance, as well as other benefit options. Enrollment forms are included in this booklet.
Life Insurance Enrollment FormUse this form to enroll in life, dependent life, and disability insurance during open enrollment or within 90 days of new SEIU Local 503 membership. You can also use this form to make changes to your coverage and to designate or change your beneficiary.
Legal Insurance Enrollment FormUse this form to enroll in legal insurance during open enrollment or within 90 days of new SEIU Local 503 membership. You can also use this form to change your legal insurance enrollment.
Life and Legal Domestic Partner AffidavitSubmit this form along with your life or legal insurance enrollment form to insure your domestic partner.
Scholarship Domestic Partner FormSubmit this form to the SEIU Local 503 benefit office when your domestic partner applies for a Local 503 scholarship.
Member Benefit Information Request FormReturn this form to SEIU Local 503 benefits office to request additional information on other member benefits.
Summary Annual ReportThis document must be available to all participants in the member life and disability and legal plan at the end of the financial year. This report contains financial and related information about the plan.
Life Summary Plan DescriptionThis detailed document describes the features of the life and disability insurance plan.
Legal Summary Plan DescriptionThis detailed document describes the features of the legal insurance plan.