Important Documents and Forms
- 1-1-25 Enrollment Change Form
 - Beneficiary Questions and Answers
 - Part Time Resolution Template
 - Schedule B for Birth Registration
 - Schedule C for Marriage Registration
 - Sample Loss of Coverage Form
 - Release of Health Information
 - Domestic Partner Petition Template
 - Affidavit for Domestic Partner
 - Termination of Domestic Partner
 - LTD Claim Packet
 - 
              
              
                Retiree Life Insurance Application 
(under age 65) - 
              
              
                Options for Continuing Life Insurance 
Due to Retirement - Life Claim Packet
 - Board Member Enrollment Application
 - Employers' First Report of Injury/Illness
 - Filing a Life Claim
 - Notice of Work Accident
 
NMPSIA Rules and Regulations
Applying for Life and LTD Coverage
Applying for Life & LTD Coverage - Late Enrollment
For Additional Life or Long Term Disability that is declined or if the employee chooses to enroll after the 31-day enrollment deadline, to add these coverages the employee needs to:
- Complete an Employee Enrollment/Change Form or Request via Employee Login Online System
 - Respond to Evidence of Insurability Email
 - Wait for Decision by The Standard
 
This applies to requests for LTD coverage or Additional Life for the employee and Dependent Life coverage for spouse.
                    Step 1
Complete a paper Employee Enrollment/Change Form
                    and
                    submit to your employer’s Benefits office or apply via Employee Login online system.
                  
                    Step 2
Respond to Evidence of Insurability email from The
                    Standard to complete the Evidence of Insurability application
                  
Note: The late enrollment process is available anytime of the year. A tutorial can be found here.
                  
                  What is evidence of insurability? 
                  EOI is a statement or proof of a person's physical condition
                  that is required to obtain certain types of insurance.
                
- Accelerated Benefit Claim Packet
 - Accidental Dismemberment
 - Continued Dependent Life Insurance for Disabled Child
 - Group Conversion Packet
 - Life Claim Packet
 - Portability Application
 - Request for Group Life Conversion Materials
 - Specified Disease Benefit Packet
 - Long Term Disability Claim Packet
 - Waiver of Premium Claim Packet
 
- Beneficiary Questions
 - Options for Continuing Life Insurance
 - Travel Assistance and Life Services Toolkit Brochure
 - Life Services Toolkit (English)
 - Life Services Toolkit (Spanish)
 - Travel Assist Flyer (English)
 - Travel Assist Flyer (Spanish)
 - Travel Assistance Program Description
 - For Employers: Guide to Taxation to Income Replacement (LTD) Benefits