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- Life -
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Mutual of Omaha
Phone: (800) 228-7104
www.mutualofomaha.com

Helpful Resources

- My Group Voluntary Life Benefits -

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment. Eligible dependents include spouse, married or unmarried natural child(ren), adopted, or stepchild who has not reached his or her 26th birthday.

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Contributions:

Please contact your department supervisor for your contribution information.

Forms and Plan Documents:

Benefit Summary

(Print)

Enrollment Form

(Print)

Beneficiary Form

(Print)

- My Group Life Benefits -

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment. Eligible dependents include spouse, married or unmarried natural child(ren), adopted, or stepchild who has not reached his or her 26th birthday.

​

Contributions:

The Group Life premium is provided to Belmont County’s employees only and is 100% paid for by the company.

Forms and Plan Documents:

Certificate Class 1

(Print)

Benefit Summary

(Print)

Certificate Class 2

(Print)

Benefit Summary

(Print)

Enrollment Form

(Print)

Beneficiary Form

(Print)

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