Life Insurance Programs

Group Term Life Insurance (County Paid)
$10,000 County-paid Term Life Insurance is in accordance with the terms negotiated by bargaining unit, MOU, or Management Resolution. Life Insurance is offered through ING ReliaStar Life Insurance Company (ReliaStar) to all employees whose permanent status is 20/40 or greater and enrolled in a health and/or dental plan option.  Please read the Employee Group Life Insurance Plan for the Schedule of Benefits and other important information.

Group County-paid Management Term Life Insurance of is offered through ReliaStar to employees in designated management classes.  Refer to either the Management Resolution or your MOU to determine eligibility for this benefit.

County-paid Long Term Disability (LTD) Insurance is provided to employees in designated management classes.

Designation of Beneficiary form

Voluntary Supplemental Life Insurance (Employee Paid)

Voluntary Supplemental Life Insurance is available for purchase through ReliaStar. Employees may elect from $20,000 up to $500,000 of coverage. Spouse, domestic partner, and dependent children coverage is also available.  Certification, Schedule of Benefits and other details are included in the Supplemental Life Insurance Plan Booklet.
Supplemental Life Insurance Plan Booklet.

Employees are eligible for this program within 60 days of hire (automatically accepted and eligible for up to $100,000 of coverage with no evidence of insurability). Otherwise, an employee may complete and submit evidence of insurability forms to the carrier for consideration.

More detailed information and enrollment forms are included for your reference. 


Life Insurance Summary
Rates
FAQ's for Supplemental Life

Worksheet to estimate your life insurance coverage needs.

Forms are printable only:

Enrollment Form
New Hire Life and AD and D Insurance Enrollment Form
Submit to:     Contra Costa County
                   Employee Benefits Service Unit
                   651 Pine Street, 5th Floor
                   Martinez, CA  94553
Evidence of Insurability (required for amounts greater than $100,000).

Termination/Changes to Supplemental Life Insurance
If you wish to terminate or to make a change to your current supplemental life insurance, please complete the form below and return to Employee Benefits at the address listed above.
Change/Cancel Supplemental Life Insurance