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The Hartford Life Insurance Information

Here are the forms for submitting for our life insurance carrrier, The Hartford.

Basic Life Benefit Fact Sheet Supplimental Life - New Hire Benefit Fact Sheet
NY Personal Health Application Travel Assist Fact Sheet
Beneficiary Designation Form Life Conversion Form
New Hire Enrollment Form Late Entrant Enrollment Form

To enroll or file claims, fill out the forms and return them to:

Staff Leasing Inc.
ATTN: Flex.
149 Northern Concourse
North Syracuse, NY 13212

Or you may fax them to: (315) 641-3601

And also email to: flex@staffleasing-peo.com

 

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Last modified: November 30, 2007