Optional Benefits Supplemental Life



Who is eligible?

All State employees except members of Public Employees Local 71.



  • During first 30 days of employment.
  • Within 30 days of qualified change in employment/family status.
  • During the annual open enrollment period.

Coverage Starts

Assuming premiums are paid:

  • First of the month following 30 days of employment if elected at hire.
  • First of the month following enrollment receipt if elected following a qualified change in family or employment status.
  • January 1 if elected during open enrollment.
  • First of the month following return from leave without pay.

Coverage Ends

The last day of the month in which:

  • Pay status ends; or
  • Employment terminates; or
  • Premium is paid


  • May not be continued during LWOP.
  • May be converted to a private policy at termination.

Beneficiary Form

Optional Benefits Beneficiary Form