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Hartford Life Insurance 

All benefit eligible employees are automatically enrolled in the basic Life Insurance Program through The Hartford. The District provides 1 x your annual salary or $50,000 (whichever is greater) at no cost to you. ​

Group Policy #681933

Cer​​tif​icate of Insurance

​(for Basic, Supplemental & Dependent Life Insurance Coverage)

As a new hire you can select, up to 5 times your annual earnings ($500,000 maximum). Amounts elected in excess of $250,000 will require a Statement of Health. Your spouse can apply for amounts equal to 100% of the employee's coverage up to $100,000. Spouse life insurance elected in excess of $40,000 will require a Statement of Health.​

Unmarried children from 14 days old to age 26 are eligible for up to $10,000 of life insurance.

Each year during Open Enrollment established policies can be increased by $10,000 for participating employees and their spouse . A Statement of Health  will be required for any increase over $10,000. Once coverage reaches $250,000 for an employee all increases will be subject to a Statement of Health. Once spouse coverage reaches $40,000 all increases will be subject to a Statement of Health.

Active employees not previously enrolled can select  supplemental, spouse & child life each year during Open Enrollment . ​This enrollment will require a Statement of Health.

Premiums are paid on an after-tax basis through payroll deductions. This policy has a portability option allowing employee coverage to continue after termination of employment.

Premium rates​

*New RSCCD Conversion_Portability Form​

Designation of Beneficiary​ Form

Employee Beneficiary Designation​​​​​

• Complete the form and mail to Diane Loya, Employee Benefits Office, 2^nd Floor Ste. 225, RSCCD District Office.  Please note, this form does not automatically update other beneficiary information with non-Hartford voluntary life insurance plans, RSCCD HR Dept. or pension providers.  Please contact the appropriate provider for assistance.

​Complete a Statement of Health for yourself and each family member you wish to insure. Mail the Statement of Health to The Hartford:

Hartford Life And Accident Insurance Company

Statement of Health Unit

One Hartford Plaza

Hartford, CT 06155

​Annual Privacy Notice.pdf​