Please consider downloading the latest version of Internet Explorer
to experience this site as intended.
Tools Search Main Menu

Life Insurance Forms

Enrollment and changes to your GUL/GOTL insurance can be completed online. If you do not have access to a computer or to the internet, please complete the applicable forms listed below and return them to Securian Life, or fax both sides of the form(s) to 651-665-1542.

Group Universal Life (GUL) Application
Complete this application when applying for GUL Insurance.

Group Optional Term Life (GOTL) Application
Complete this application when applying for GOTL Insurance.

Life Insurance Change Request
Complete this form to change your existing life insurance coverage (You may not cancel your coverage online).

Evidence of Insurability Form
A health history questionnaire to be completed if proof of good health is required.

Beneficiary Designation and Change Request Form
Complete this form to add/change your beneficiaries.



Click here for a full list of forms regarding University Benefits.