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Protect What Matters Most
Affordable and Portable
Enrollment is Easy

Group Universal Life Insurance

Group Universal Life Insurance provides affordable, flexible, and portable life insurance protection for employees, spouses, and children under age 26 of Blue Cross and/or Blue Shield and their affiliated companies.

Adjust coverage as needed. Increase benefits for new family members. Reduce coverage as family members age. With the guaranteed minimum interest rate of 4.0%, you can use the cash accumulation feature to save for immediate needs or long term goals. And it’s yours, whether you leave the company or retire, as long as the group policy is still in effect.

Annual Open Enrollment Period

Nebraska: November 5, 2018 – December 5, 2018

BCS: December 3, 2018 – December 20, 2018

You are invited to enroll in this exclusive Group Universal Life program made available only to the employees of the Blue Cross and/or Blue Shield Plans and their Affiliates. Your eligible spouse and eligible children are also invited to enroll:

  • You may enroll for one to six times your base salary, not to exceed the maximum of $1,500,000 of coverage
  • Your eligible spouse can enroll for two times your base salary, not to exceed the maximum of $100,000 of coverage
  • Each eligible child can enroll for $10,000 in coverage, a flat monthly premium of $1.00 covers all insured children

Note: You and your dependents must meet eligibility requirements to qualify for coverage and undergo medical underwriting, at no cost to you.

Enrollment is Easy!

Just follow these four steps:

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STEP 1

GO

Materials to help better understand product features, how the program works, and the enrollment process.

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STEP 2

GO

Complete the enrollment form, sign and return to us.

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STEP 3

GO

Your enrollment will be confirmed by notification via standards U.S. Mail.

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STEP 4

GO

Manage your account information and plan contributions on a secure and easy-to-use website.

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Step 1: Learn

Helpful resources to learn more about Group Universal Life

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Program Brochure

Provides an overview of the program and other information to guide you through the enrollment process.
Download PDF Here

 

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Cost Calculation Worksheet

Determine coverage options and calculate monthly deductions and contributions.
Download PDF Here

 

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Premium Rate Chart

Use to complete the Cost Calculation Worksheet.
Download PDF Here

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Frequently Asked Questions

Find answers to commonly asked questions about the Group Universal Life program.
Download PDF Here

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Video Library

Gain an in-depth understanding of the program features through these informative videos. Watch some or all of the topics — at your convenience.

Click on Videos Below

Step 2: Enroll

1. Download the Enrollment form from the appropriate link (for employers located in Virginia, select ‘Virginia’ version)
2. Save the Enrollment form to your computer
3. Use the fillable form fields to key in the requested information (handwritten applications can cause unnecessary delays and will be returned if illegible)
4. Use the resources on this site to complete the form
5. Print a hardcopy of the completed form
6. Sign and Date the completed form

DOWNLOAD ENROLLMENT FORM DOWNLOAD ENROLLMENT FORM – VA ENROLLEES

Fax or mail the complete form to:
Mercer Health & Benefits Administration LLC
P.O. Box 9122
Des Moines, IA 50306-9122

Customer Service: 1-800-621-2358
Fax: 1-515-365-1520

Step 3: Confirm

Confirmation of your enrollment status will be sent via standard US Mail
You will be notified if additional information is needed
Save the following important documents
Certificate of Coverage
Schedule of Benefits
Verify the correct amount is deducted on your pay stub

Step 4: Manage

Once insured, please visit personal-plans.com.
View your coverage details and account information
Access self-service features
Find phone, fax, or email contact information for additional questions and assistance

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About Us

4 Ever Life Insurance Company enhances protection with unique underwriting solutions nationwide for insurance companies, brokers, agents, administrators, employers, employees, and individuals. With over 60 years’ experience in enhancing protection, 4 Ever Life is rated “A-” (Excellent) by A.M. Best and licensed to provide health and life insurance solutions in all 50 states, the District of Columbia, and Puerto Rico.
4 Ever is protection, enhanced.

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About the Administrator

Mercer Health & Benefits Administration LLC, designs, implements, and manages insurance, risk management, and financial service programs for private clients and sponsoring entities. On behalf of their clients, Mercer Health & Benefits Administration LLC delivers vision, value, convenience, choice, and innovation to consumers worldwide. With continuous market sourcing and sophisticated, data-driven marketing strategies, Mercer Health & Benefits Administration LLC expands customer access and program utilization, delivering increased revenue opportunities, security, and asset protection to clients and consumers.

Contact Us

If you have any questions about the GUL product, how to complete the enrollment form, or any of the resources on this site, fill out the below form and a representative will be in contact with you.

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