To obtain a quote for your Cultural Group Association, please provide the following information:
To complete the census form for a preliminary quote, online you will need three required pieces of information about each active member of your cultural association: full name, date of birth, and gender. You may enter approximate ages if dates of birth are not readily available. But be aware that if approximate ages are used to obtain rate quotes, those rates may change when your members actually apply for coverage and furnish the required dates of birth.
You may omit social security numbers at this early point on the Census Form.
Note: When your group moves to the next stage and decides to apply for coverage, you will need to fill out all fields in the Census.
To submit the Census
To protect the data, please do not email us your census form with social security numbers on it. Please send us your completed Census Form via mail or fax:
Premium rates are established for each cultural group based on its composition (total number of active members, ratio of males to females and their ages.)
When will I receive my quote?
You will receive a quote within 2 business days of submitting the census form. The quote will include rates for each benefit amount: $10,000, $15,000, $20,000, and $25,000.
After your group has completed the Census form and submitted it to Cultural Group Benefits, you will receive a customized quote. You can take the following steps to move forward and enroll for the Group Term Life Insurance Plan.
To apply for Group Term Life Insurance coverage, your group must follow a two-step process.
Please return the following three forms to Cultural Group Benefits:
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
St. Paul, MN 55125
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