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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 direct you to the Accidental Death benefit certificate as well as the beneficiary form:

 

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