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Life & AD&D Plans (including PERA Life)

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Instructions for setting up an online account
Evidence of Insurability Online Form - Group Code is G000AYDJ

Term Life & AD&D Documents
  • Mutual of Omaha Basic Life & AD&D--All Eligible Employees Benefit Summary
  • Mutual of Omaha Basic Life & AD&D--Dept. Heads Benefit Summary
Voluntary Life & AD&D Documents
  • Mutual of Omaha Voluntary Life & AD&D Rates
  • Mutual of Omaha Voluntary Life & AD&D--All Eligible Employees Benefit Summary
  • Mutual of Omaha Voluntary Life & AD&D--Department Heads Benefit Summary
Additional Benefits
  • Mutual of Omaha Employee Assistance Program Brochure
  • Mutual of Omaha Travel Assistance Brochure
  • Mutual of Omaha Will Preparation Brochure
  • Mutual of Omaha Hearing Discount Brochure
  • Mutual of Omaha Identity Theft Brochure
PERA Life
  • Brochure
  • Online Enrollment Form - Employee ID # 651800 (send copy of confirmation to HR)
  • Paper Enrollment Form (send to HR to submit)
  • Beneficiary Form


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Disclaimer
This site provides general information about the benefits provided under your employer’s benefit plan(s) based on information provided by your company. Gallagher makes no guarantees regarding the accuracy or reliability of this information. The information on this site does not include all the terms, coverage, exclusions, limitations, and conditions contained in the official Plan Document(s), applicable insurance policies, and contracts (collectively, the “plan documents”), it does not address all the specific issues which may be applicable to you, and it should not be construed as, nor is it intended to provide, legal advice. To the extent that any of the information contained on this site is inconsistent with the plan documents, the provisions set forth in the plan documents will govern in all cases. If you wish to review the plan documents or you have questions regarding specific issues or plan provisions, you should contact your company’s Human Resources/Benefits Department.

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