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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

To enroll, contact the Benefits Dept, (315)-641-3600:

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

Or email: benefits@staffleasing-peo.com

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