Below you will find information for individual member enrollment into your Group Term Life Insurance plan.
Enrollment forms for U.S. Residents
Individuals who are joining your Cultural Association from another cultural group should contact the Cultural Group Benefits billing office. No individual participating in this block of business under Cultural Group Benefits can participate in two groups
Members who chose not to enroll during their first opportunity, can apply during the Application Period by filling out the Simplified Issue form. To obtain the Simplified Issue form, please contact the billing office at (651)287-3248.
There are four payment options: Monthly, Quarterly, Semi-Annual, and Annual.
The group should always pay the premium owed for current members by the 1st of the month.
New Member Premiums
The premium for new members will be paid by the 15th of the month.
If there are name changes, adding or removing a child and/or address changes, the member must send a letter indicating the change to: Cultural Group Benefits, 6701 Upper Afton Road, Woodbury, MN 55125. You will receive a Confirmation Letter acknowledging the change.
Beneficiary changes are done by completing the Beneficiary Designation Form and returning it to Cultural Group Benefits, 6701 Upper Afton Road, Woodbury, MN 55125
Underwritten by Hartford Life and Accident Insurance Company, Hartford, CT 06155.
Life Form Series includes GBD-1000, GBD-1100, or state equivalent.
Not available in all states.
The Hartford® is The Hartford Financial Services Group, Inc., and its subsidiaries, including issuing company Hartford Life and Accident Insurance Company.
Cultural Group Benefits Insurance Programs
6701 Upper Afton Road
Woodbury, MN 55125
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