NMPSIA covers over 30,000 educational employees and their families. Use the options on the left side of your screen to find out about your health insurance benefits, enroll for coverage, make changes, or get the form you need.
Important Documents and Forms
- Enrollment/Change Form 7-1-24 - 12-31-24 ONLY
- 1-1-25 Enrollment Change Form
- Beneficiary Questions and Answers
- Sample Loss of Coverage Form
- Release of Health Information
- 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
- Notice of Work Accident
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