Your Family's Passport to Financial Security. Life insurance is one of the cornerstones of financial planning. In the event of your unexpected or premature death, the Group Term Life Plan can provide the financial security your family needs. This life insurance helps make sure they'll be able to meet expenses, such as mortgage and car payments, as well as future expenses such as college tuition.

A very high percentage of American adults have life insurance. But just as important as having this insurance is having a coverage amount sufficient for your needs. To learn more about why you may need this insurance, view a brief Insurance Article.

Practical Help:

• Offers the security of knowing your family will be protected if you should die prematurely.
• Features term coverage, probably the least expensive form of life insurance you can buy.
• Ideal for members who need small or large amounts of coverage.
• Provides the flexibility you want so you can adjust coverage as your needs change.

Valuable Benefits:

• Up to $1,000,000 of Member and Spouse/Domestic Partner Coverage
  You don't have to apply for coverage for your spouse or domestic partner to request life insurance.
• Affordable Group Rates
  The premium rates for the Group Term Life Plan are very competitive. You'll be surprised at how much insurance you can afford to purchase.
• Premium Credits
  Although not guaranteed, when the Plan's claims experience is favorable, premium credits may be granted and used to reduce the cost of coverage for insured members.
• Premiums Can Be Waived If You're Disabled
• Volume Discounts
  The more you buy, the more you save. Discounts start at $200,000 of coverage; rates are discounted even more for coverage amounts of $500,000 or more.
• Premiums Discounted for Non-Users of Tobacco
• Portable Coverage
  The policy offers portable coverage that can follow you throughout your career. Make all the career changes you want and still maintain this valuable protection.
• Conversion to an Individual Policy When Coverage Terminates If You Meet Conversion Requirements
• Living Benefit Option (Accelerated Life Benefit)
  Enables you to apply for a portion of your policy benefits if you become terminally ill, subject to certain policy restrictions and limitations. These benefits are paid directly to you, and you may spend them any way you wish.

Policy Information

Coverage Options Up to $1,000,000
MSBA members and their spouses/domestic partners can obtain up to $1,000,000 of coverage in $10,000 increments. Eligible dependent children may be insured for $10,000 or $25,000. Children age 14 days but less than 6 months may be insured for $2,000 or $5,000.

Broad Eligibility for You and Your Family
All MSBA members and their spouses/domestic partners who are under age 60 and U.S. residents are eligible to apply for coverage. Unmarried dependent children who are age 14 days to 19 years old (23 where permitted, if full-time students) also may be covered. NOTE: You do not have to apply for coverage for your spouse/domestic partner to request this life insurance.

Your Employees May Be Eligible Too
Employees of MSBA members may be eligible to apply for up to $250,000, in $5,000 increments, of this valuable term life insurance. To determine whether employees are eligible, contact the Minnesota State Bar Association Administrator at -800-501-5776 between 7:30 a.m. and 4:30 p.m. Central time, Monday through Friday.

Money-Saving Features of MSBA Term Life

Group Purchasing Power Equals Savings
MSBA Group Term Life converts the mass purchasing power of your association into an insurance value for you and your family. And your premium won't be individually increased because your health condition changes. It will be increased only when you move into a higher age bracket or if the rates for the entire group increase.

Volume Discounts
Coverages starting at $200,000 and again at $500,000 reflect a discount for volume purchases.

Discounts for Non-Users of Tobacco
If you or your spouse/domestic partner have not smoked cigarettes or used tobacco products in any form during the past 12 months, you may take advantage of the lower rates that are available to non-users of tobacco!

Premium Credits
When the Policy's claims experience is favorable, premium credits may be granted and used to reduce insured members, spouses/domestic partners, and employees' costs. The Policy has an impressive record of past credits. Future credits, which cannot be guaranteed, can only be used to reduce amounts due and are not available if coverage is terminated.

YOUR SEMIANNUAL COST

The MSBA Policy provides you quality coverage at a reasonable cost. Initial rates are based on the applicant's age. Rates increase when the insured person reaches a higher age bracket.

Semiannual NON-TOBACCO-USER RATES for Member, Spouse or Domestic Partner, and Employee

Semiannual TOBACCO USER RATES for Member, Spouse or Domestic Partner, and Employee

*Rates are for renewal purposes only for those up to age 65.
Rates shown are guaranteed until July 1, 2012.

Contact the policy administrator for additional costs for tobacco users.

Children's semiannual rate with the 25 percent premium credit: $8.46 for $10,000 of coverage or $21.20 for $25,000 of coverage ($2,000 and $5,000, respectively, for children ages 14 days to 6 months)

The Accidental Death & Dismemberment monthly rate per $1,000 of coverage with the 25 percent premium credit is $0.03.
At age 70 member benefits are reduced to 50 percent of the original amount or $50,000 (whichever is less). Spouse and domestic partner coverage terminates at age 70.

Above rates reflect an MSBA premium credit beginning 7/1/06. MSBA credit may vary in subsequent years.

Premium rates are based on your age and increase as you enter new age brackets. Your age is your age on the policy anniversary date.

Coverages starting at $200,000 and again at $500,000 reflect a discount for volume purchases.

How to Determine Your Semiannual Cost

To calculate your semiannual premium, you may follow the instructions below or let us do the work for you by taking advantage of our automatic Rate Calculator. Semiannual premiums shown are for members only. If you are an employee please contact the Administrator toll-free at 1-800-501-5776 between 7:30 a.m. and 4:30 p.m. Central time, Monday through Friday.

1. Decide on the amount of insurance you wish to request for yourself and/or your spouse/domestic partner.
2. Find the semiannual rate that applies to the unit of coverage, based on each applicant's age and tobacco-use status.
3. 3. If you wish to request child coverage, add $11.28 to cover ALL eligible children for $10,000 each, or $28.26 to cover ALL eligible children for $25,000 each. (Children age 14 days to 6 months are covered for $2,000 or $5,000, respectively).

NOTE: Employees should perform the same steps to determine their cost of coverage (not to exceed $250,000).

ADDITIONAL POLICY BENEFITS

Accelerated Life Benefit Option Lets You Benefit From Your Own Plan

You may use the proceeds received from this benefit for any purpose. This benefit can be of value when a terminal illness creates a need for funds to pay for medical expenses or nursing care. For example, if an insured member is diagnosed as terminally ill, subject to policy provisions, he/she can receive up to 50 percent of his/her insurance amount ($150,000 maximum).

Premiums Waived If You Are Disabled

If an insured member or spouse or domestic partner becomes totally disabled (as defined by the policy) prior to age 60 and remains continuously disabled for six consecutive months, this coverage will remain in effect until age 70 —at no cost—as long as he/she remains disabled.

Conversion Privileges

When member or employee coverage terminates or reduces, it can be converted to an individual policy within 31 days—without regard to your health at that time. This privilege also applies to spouse or domestic partner and child coverage.

Choice of Beneficiary

Benefits will be paid to the person or entity designated by you in writing and on file with the insurance company. The member is the beneficiary of children's coverage.
You also may assign ownership of this insurance to another person or entity for tax and estate planning purposes, subject to any terms and limitations contained in the group contract.

Accidental Death & Dismemberment Insurance Option

Group accidental death & dismemberment (AD&D) insurance can be purchased up to the same level of death benefit for which you may be applying. In addition, many people are seriously injured by accidents and sustain loss of limb or eyesight. For these reasons, MSBA Group Accidental Death & Dismemberment (AD&D) Insurance is an important addition to your benefit plan.

OTHER IMPORTANT INFORMATION

Effective Date

Coverage will become effective the date on which coverage is approved. If you are not actively at work on the scheduled effective date, your insurance will begin on the date you return to work full-time.

Continuation of Coverage

A member's insurance can be renewed as long as he/she remains a member of the MSBA, makes required premiums when due, and the Group Contract remains in force. Spouse or domestic partner coverage terminates at age 70.

At age 70, member coverage will reduce to the lesser of $50,000 or 50 percent of the original coverage amount. Coverage for employees reduces to 65 percent of the original amount at age 65, to 50 percent at age 70, and to 30 percent at age 75.

Children's coverage ends when they cease to be eligible dependents. If employee coverage terminates because employment with an MSBA member ends, work hours reduce, or the employee retires, the benefit will continue up to the earliest of: the date the insured becomes eligible under any Group Policy; the end of the 18-month period following the date the insured's work hours reduced to fewer than required for eligibility; or the date the group contract terminates. Conversion is available when coverage for members, spouses/domestic partners, children, and/or employees terminates.

Renewal Payments and Claims

Once you are accepted, you will have a 31-day grace period for your payment of renewal premiums. When you want to submit claims, write the Minnesota State Bar Association Administrator for claim forms or call 1-800-501-5776 between 7:30 a.m. and 4:30 p.m. Central time, Monday through Friday.

Certificate of Insurance

When you become insured, you will be sent a Certificate of Insurance describing your coverage.

Money-Back Guarantee

Your satisfaction is guaranteed. When you receive your Certificate of Insurance, read it carefully. If you're not completely satisfied with the terms of your new insurance coverage benefits have been paid, simply return your Certificate, without claim, within 30 days and your payment will be promptly refunded by Marsh U.S. Consumer. No questions asked! Your insurance will then be invalidated.

Underwritten by ReliaStar Life Insurance Company, 20 Washington Avenue South, Minneapolis, MN 55401. Policy Form LP08GP.
Arkansas Insurance License #245544
California Insurance License #0633005

How to Apply

1. Complete the Application. (To offer this insurance available at the lowest possible cost, a blood test and/or additional medical information may be required .depending on age and the amount of coverage requested.)
2. Make your check for the total cost of all insurance requested payable to: Administrator, MSBA Group Insurance Program.
3. 3. Mail the completed request form with your check to:
   Administrator, MSBA Group Insurance Program
   P.O. Box 10374
   Des Moines, IA 50306-0374

Consider Your Eligibility

Before you request coverage, you must be a member in good standing of MSBA. Please wait until your application for membership is accepted before initiating your insurance requests. If you have any questions about membership, see the MSBA home page.

Questions? We're Only a Phone Call Away

If you have questions about your eligibility, call a service representative toll-free at 1-800-501-5776 between 7:30 a.m. and 4:30 p.m. Central Time, Monday through Friday. Also see Frequently Asked Questions.

About This Policy Information

This Policy Information describes the main provisions of the Policy. The complete terms and conditions of coverage are contained in Group Policy GL-29063-7, which is issued to the Minnesota State Bar Association. Policy Form LP08GP.

Consumer Privacy Notice

This form is in Adobe Acrobat Reader (PDF) format and is available for downloading and printing.

Consumer Privacy Notice

These form(s) are in Adobe Acrobat Reader (PDF) format and are available for downloading and printing.

Group Term Life Application