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Accidental Death Benefit

There’s no insurance application to fill out, no premiums to pay. There’s no cost to you.
The following links provide forms for your accidental death benefit certificate and beneficiary forms:

Accidental Death Beneficiary Form and Member Update Form ONLINE

Accidental Death Beneficiary Form and Member Update Form Download

Accidental Death Certificate (Revised 12/2017)

Be sure to complete the above beneficiary form so this benefit goes to who YOU designate.  The membership verification/update form will ensure we have your most current information in the event of a claim.

Mail your completed form to:
CSEA

Attn: Insurance Dept.
143 Washington Avenue
Albany, NY 12210
1-800-342-4146