Life and Long Term Disability

Please get in touch with Emma Clancy at [email protected] for a copy of the Life and Long Term Disability benefit summaries offered by NASD.

*Madison National Life Insurance Company Evidence of Insurability: The EOI for the Voluntary Long-Term Disability Buy-Up coverage is required for the National Insurance Services (NIS). Your coverage will drop if the EOI form is not submitted within 60 days after completing your enrollment process.

Click Here to download/complete the NIS Evidence of Insurability (EOI) Form.

• Mail your application to National Insurance Services, 300 North Corporate Drive, Suite 300, Brookfield, WI 53045, Attention: Billing Department.
• Group #: 015230, Norristown Area School District.

*Group Life Insurance Evidence of Insurability: The EOI for the Voluntary Group Life coverage is required for the Ochs – Securian Financial Company. Your coverage will drop if the EOI form is not submitted within 60 days after completing your enrollment process.

Click Here to download/complete the Ochs Evidence of Insurability (EOI) Form!

• Mail your application to Minnesota Life Insurance Company – a Securian Financial company, Life Underwriting • 400 Robert Street North, St. Paul, MN 55101-2098.
• Group# 34444, Norristown Area School District.