PERS of Mississippi Senior Term Life Insurance Plan

Protect the people you love

with coverage you can trust.

Get simple, competitively-priced senior term life insurance—exclusively for PERS of Mississippi retirees.

Enroll now at competitive group rates.

Group Term Life Insurance is underwritten by Securian Life Insurance Company.

Term life insurance gives you so much

for so little.

Term life insurance is coverage for a particular

term or period of time that pays a fixed amount

of money if the insured dies during the term of

the policy. The premiums are based on your

age when coverage begins. Your rate may

change only if the rates for the entire group

are changed. The policies do not build up

cash value like whole life insurance.

Double benefits for accidents.

You will receive benefits in the event of a

covered accidental death from day one, and

you’re covered for double the amount of

protection you choose – which could be as

much as $40,000.

Your acceptance is guaranteed.

No medical history needed.

Retirees can elect life insurance coverage up

to, but not to exceed $20,000. The retiree’s

spouse may enroll for a total benefit amount

equal to or less than the retiree’s total

coverage amount.

You can’t be canceled because

of age or health.

If you enroll in the PERS of Mississippi Senior

Term Life Insurance Plan between the ages

of 44 and 90, your plan will continue to renew

until you reach age 120. It cannot be canceled

because of your age or any changes in your

health, subject to the limited benefit period end

at age 120.

Provide peace of mind for your loved ones.

That’s all part of the plan.

Introducing the PERS of Mississippi Senior Term Life Insurance Plan.

About this booklet.

This booklet is designed to answer some common questions about the PERS of

Mississippi Senior Term Life coverage being offered to eligible retirees. It is not intended

to provide a detailed description of the coverage.

When you become insured, you will receive a certificate containing a detailed description

of the insurance, including the definitions, exclusions, limitations, reductions and

terminating events. The controlling provision will be in the group policy. Neither this

booklet nor the certificate modifies the group policy or the insurance coverage in any way.

Term Life Coverage

No medical exam needed

Term Life Beneﬁts

$2,500 to

$20,000

Double Beneﬁts for

Covered Accidents

$5,000 to

$40,000

You and your spouse can be covered.

All PERS retirees and their spouses ages

44 to 90 can participate in the senior term life

insurance plan.

However, if you have coverage as an insured

retiree, you cannot become insured as the

spouse of another insured (retiree).

Expanding coverage is easy.

Retirees can increase their life insurance

coverage at any time, however, the total

coverage for the retiree cannot exceed

$20,000. The retiree’s spouse may enroll for

a total benefit amount equal to or less than

the retiree’s total coverage amount. This new

coverage is subject to two years of limited

benefits; full benefits are available after two

years.

Automatic deductions simplify payment.

Term life premiums are deducted directly from

your retirement benefit payment, so you can be

confident that you’ve done your best to protect

your family.

Senior Term Life plan holders can

increase their coverage.

If you are currently insured under another

policy, but want to add to your coverage

under Securian Life, you may contact us at

1-877-863-1497, Monday – Friday, 8:00 a.m.

to 7:00 p.m., EST.

Benefits are guaranteed with no medical exam because benefits are limited to a return of premiums paid for non-accidental

death during the first two years. The plan will pay 125% of the initial annual premium the first year and 250% of the initial

annual premium the second year. After that, the full benefit amount will be paid for death from any cause. The full benefit

amount will be paid for accidental death at any time.

Help secure their tomorrow

with the PERS of Mississippi Senior Term Life Insurance Plan.

Your death could cause your family financial hardship in a time of great emotional loss.

While this is hardly a pleasant thought, it could become a real situation.

Life insurance is one way to help plan for the unexpected and protect your family.

The PERS of Mississippi Senior Term Life Insurance Plan

pays your beneficiary a lump sum cash benefit in the event

of your death. Competitive group rates are available.

All Public Employees’ Retirement System of Mississippi

(PERS) retirees and their spouses ages 44 to 90 can

participate in the term life insurance plan.

This voluntary coverage is now available in amounts

from $2,500 to a maximum of $20,000. You can enroll

for coverage without having to complete any medical

forms. Spouse coverage is also available. Your spouse

can be covered for an amount equal to or less than

your coverage without any medical forms.

Your benefits are guaranteed with no medical exam

because benefits are limited to a return of premiums

paid for non-accidental death during the first two years.

The plan will pay 125% of the initial annual premium the

first year and 250% of the initial annual premium the

second year. After that, the full benefit amount will be

paid for death from any cause. The full benefit amount

will be paid for accidental death at any time.

The PERS of Mississippi Senior Term

Life coverage is dependable coverage.

• Get up to $20,000 in coverage for just

a few dollars a month

• Guaranteed acceptance

• No medical exams or questions

• Rates won’t increase as you age

• Underwritten by Securian Life Insurance

Company

Enroll now at competitive

group rates.

Call 1-877-863-1497

and sign up today.

Life Insurance designed with

you in mind.

Don’t miss this opportunity to protect

your family.

Insurance offer approved by PERS and backed

by one of the nation’s most financially reliable

insurance companies, PERS of Mississippi

Senior Term Life Insurance is a smart, simple,

affordable way to plan for the unexpected.

Enroll now at competitive group rates.

Just call 1-877-863-1497.

You can also complete and mail the enclosed

enrollment form in the reply envelope we have

provided.

Questions?

We’ve provided many answers on the back of

this brochure.

At Securian Financial, we’re here for family. And we’re here

because of it.

We’re guided by our purpose: helping customers build secure tomorrows. Since

1880, we’ve been building a uniquely diversified company that has outlasted

economic ups and downs while staying true to our customers. We’re committed to

the markets we serve, providing insurance, investment and retirement solutions that

give families the confidence to focus on what’s truly valuable: banking memories

with those who matter most.

Securian Financial is the marketing name for Securian Financial Group, Inc. and its

affiliates including Securian Life Insurance Company.

Please respond soon.

You have been pre-qualified for

this coverage.

The effective date of your coverage

depends on when you meet the eligibility

requirements, when you enroll, and when

your premium deductions start. If you

enroll and agree to pay premiums, your

term life coverage becomes effective the

month after the premium is deducted.

Please respond within the next 10 days

for the earliest effective date. Start your

new year with a peace of mind.

We’re always here to help.

Call one of our friendly, knowledgeable

PERS of Mississippi Member Benefit Program Customer Service

Representatives toll-free at 1-877-863-1497.

Frequently Asked Questions

If you and your spouse are both PERS retirees, you can only be covered for yourself and not as a dependent of your spouse.

Does my coverage under the group policy

have cash value?

No. Group term life insurance does not accrue

cash value or dividends.

How are benefits paid?

The benefit amount will be paid to the designated

beneficiary.

Are there any exclusions?

Accidental Death Exclusions

The loss must occur as a direct result of an injury;

and the loss must occur within 365 days of the

accident causing the injury. We will not pay a

benefit for a loss which, directly or indirectly, in

whole or in part, is caused by or results from any

of the following: (1) intentionally self-inflicted injury,

suicide or any attempt thereat while sane or insane

(while sane in Colorado and Missouri) (2) declared

or undeclared war or act of war; (3) military or

combat activities while serving in the armed

forces, National Guard, or organized reserve corps

in any state, country, or international authority;

(4) sickness, disease, bodily or mental infirmity or

medical or surgical treatment thereof, or bacterial

or viral infection, regardless of how contracted.

This does not include bacterial infection that is

the natural and foreseeable result of an accidental

external bodily injury or accidental food poisoning.

(5) flight in, boarding or alighting from an Aircraft

or any craft designed to fly above the Earth’s

surface: a. except as a fare paying passenger on

a regularly scheduled commercial airline; b. being

flown by the Covered Person or in which the

Covered Person is a member of the crew; c. being

used for: i. crop dusting, spraying or seeding,

giving and receiving flying instruction, firefighting,

sky writing, sky diving or hang-gliding, pipeline

or power line inspection, aerial photography or

exploration, racing, endurance tests, stunt or

acrobatic flying; or ii. any operation that requires

a special permit from the FAA, even if it is granted

(this does not apply if the permit is required only

because of the territory flown over or landed on);

d. designed for flight above or beyond the earth’s

atmosphere; e. an ultra-light or glider; f. being

used for the purpose of parachuting or skydiving;

g. being used by any military authority, except

an Aircraft used by the Air Mobility Command or

its foreign equivalent; (6) the Covered Person’s

intoxication as determined according to the laws

of the jurisdiction in which the accident occurred;

(7) voluntary ingestion of any narcotic, drug,

poison, gas or fumes; (8) driving while intoxicated

or driving under the influence of a controlled

substance; (9) riding or driving as a professional

in any kind of race for prize money or profit. See

your Certificate of Insurance for details.

Life Exclusions

The only situation not covered is suicide

within two years after the effective date of this

coverage. There will be a refund of premiums paid.

When does my coverage end?

Term life coverage ends automatically on the

earliest of the following: 1) The date the policy

is terminated; 2) The premium due date after

the Member is no longer a member of the

Policyholder; 3) the date the grace period ends

if all premiums due have not been paid; the

premium due date next following your attainment

of age 120.

Spouse coverage will automatically end on the

earliest of the following: 1) the date your coverage

terminates; 2) the premium due date after the

spouse ceases to be an eligible dependent.

If your term life insurance ends, you may be

eligible to convert the terminated coverage to

certain types of individual life insurance policies

without providing evidence of insurability.

0718

556069

PLEASE PRINT LEGIBLY

SECTION A: Complete or correct this information.

Retiree Last Name: Retiree First Name: MI: Social Security No.: Birthdate (MM/DD/YY): Sex

Male

Female

Retiree Home Address: System You Retired From:

PERS

Municipal Plan

Mississippi Highway Safety Patrol

Supplemental Legislative Plan

Retiree Home Telephone No:

Date of Retirement: / / (MM/DD/YYYY)

Retired From [Company Name]:

Spouse Information: Check here to cover your spouse.

Spouse Last Name: Spouse First Name: MI Birthdate (MM/DD/YY): Sex

Male

Age: Female

SECTION B: Select Coverage Amount (Check One)

For You: $2,500 $5,000 $7,500 $10,000 $15,000 $20,000

For Spouse: an amount equal to or less than the Retiree amount.

$2,500 $5,000 $7,500 $10,000 $15,000 $20,000

SECTION C: Beneciary Information (Retiree):

1. Beneciary Name, Address and Telephone #: R Primary Beneciary

Relationship to Insured: Date of Birth: Percentage of Benet:

2. Beneciary Name, Address and Telephone #: Primary Beneciary or Contingent Beneciary*

PLEASE CHECK DESIRED BENEFICIARY TYPE

Relationship to Insured: Date of Birth: Percentage of Benet:

3. Beneciary Name, Address and Telephone #: Primary Beneciary or Contingent Beneciary*

PLEASE CHECK DESIRED BENEFICIARY TYPE

Relationship to Insured: Date of Birth: Percentage of Benet:

PERS OF MISSISSIPPI SENIOR TERM LIFE

INSURANCE PLAN ENROLLMENT FORM

Underwritten by Securian Life Insurance Company

(OVER, PLEASE)

18-51187

PR26213 B5187 101130

▘

*NOTE: Contingent Beneciaries will only receive proceeds if all Primary Beneciaries have predeceased the Insured.

If more than one Primary Beneciary is named, the Primary Beneciaries shall share equally unless otherwise indicated above. Likewise, if

more than one Contingent Beneciary is named, the Contingent Beneciaries shall share equally unless otherwise indicated above. If you

are naming more than one contingent Beneciary at 100% each, please indicate 1st contingent, 2nd contingent, 3rd contingent, etc., in the

Percentage of Benet block, and list each in the order of precedence.

SECTION D: Please Answer For Each Person Enrolling And Sign Below.

Is this insurance intended, in whole or in part, to replace, discontinue, or change any

existing life insurance or annuity now in effect with this or any other company?

I, and, if indicated below, my spouse, hereby enroll for group term life issued by Securian Life Insurance Company. I understand that

my insurance coverage becomes effective on the effective date stated in the schedule. I acknowledge that I have received, read, and

understand the disclosures.

I understand that death benets during the rst two years of coverage will be a refund of premiums. I understand that death benets

payable on or after the third anniversary, or death benets due to an accidental death at any time, will be the life insurance amount.

Fraud Warnings: AR, LA, RI, WV: Any person who knowingly presents a false or fraudulent claim for payment of a loss or benet or

knowingly presents false information in an application for insurance is guilty of a crime and may be subject to nes and connement

in prison. CO: It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for

the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, nes, denial of insurance and

civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading

facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant

with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within

the department of regulatory agencies. DC: WARNING: It is a crime to provide false or misleading information to an insurer for the

purpose of defrauding the insurer or any other person. Penalties include imprisonment and/or nes. In addition, an insurer may deny

benets if false information materially related to a claim was provided by the applicant. KY: Any person who knowingly and with intent

to defraud any insurance company or other person les a statement of claim containing any materially false information, or conceals,

for the purpose of misleading, information concerning any fact thereto, commits a fraudulent insurance act, which is a crime. ME: It

is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding

the company. Penalties may include imprisonment, nes or a denial of insurance benets. MD: Any person who knowingly or willfully

presents a false or fraudulent claim for payment of a loss or benet or who knowingly or willfully presents false information in an

application for insurance is guilty of a crime and may be subject to nes and connement in prison. NJ: Any person who includes any

false or misleading information on an application for an insurance policy is subject to criminal and civil penalties. NM: Any person who

knowingly presents a false or fraudulent claim for payment of a loss or benet or knowingly presents false information in an application

for insurance is guilty of a crime and may be subject to civil nes and criminal penalties. OH: Any person who, with intent to defraud

or knowing that he/she is facilitating a fraud against an insurer, submits an application or les a claim containing a false or deceptive

statement is guilty of insurance fraud. OK: WARNING: Any person who knowingly, and with intent to injure, defraud or deceive any

insurer, makes any claim for the proceeds of an insurance policy containing any false, incomplete or misleading information is guilty

of a felony. PA: Any person who knowingly and with intent to defraud any insurance company or other person les an application for

insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information

concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects such person to criminal and

civil penalties. TN: It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the

purposes of defrauding the company. Penalties include imprisonment, nes and denial of coverage. VA: It is a crime to knowingly

provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties

include imprisonment, nes and denial of insurance benets.

Retiree Signature (required): Date (MM/DD/YYYY):

Spouse Signature (if enrolling): Date (MM/DD/YYYY):

YOU SPOUSE

YES NO YES NO

PERS of Mississippi Member Benet Program

P.O. Box 26610, Phoenix, AZ 85068

Underwritten By: Securian Life Insurance Company, Saint Paul, MN 55101

18-51187