Group Term Life Benefit Summary

The information listed below is effective for the plan period beginning January 1, 2019.

Basic Life Brochure

• ​​Group Term Basic Life Certificate
  • Group Term Basic Life Amendment

Basic Dependent Life  Brochure

• Basic Dependent Life Certificate

Extra Group Term Life Benefit Summary

• ​Employee Extra Group Life Brochure

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Employee Extra Group Term Life Certificates (without dependent life)

•     XL Plan - $10,000
•     XL1 Plan - one times annual salary 
•     XL2 Plan - two  times annual salary 
•     XL3 Plan - three  times annual salary 
•     XL4 Plan - four times annual salary  

Employee Extra Group Term Life Certificates (with dependent life) 

•     XL Plan - $10,000
•     XL1 Plan - one times annual salary 
•     XL2 Plan - two  times annual salary 
•     XL3 Plan - three  times annual salary 
•     XL4 Plan - four times annual salary​​

 Dependent Extra Group Life Notices 

•  Spouse/Dependent Extra Group Life Brochure
  •  Option 1- Spouse: $10,000/ Child: $2,000
  •  Option 2- Spouse: $20,000/ Child: $5,000
  •  Option 3- Spouse: $30,000/ Child: $6,000
  •  Option 4- Spouse: $40,000/ Child: $8,000
  •  Option 5- Spouse: $50,000/ Child: $10,000

Voluntary Term Life Benefit Summary

• Employee Voluntary Group Life
  • ​​Voluntary Life Certificate

Accidental Death and Dismemberment Insurance Benefit Summary

• Voluntary Accidental Death and Dismemberment Insurance
  • ​​​​Voluntary Accidental Death and Dismemberment Certificate
  • Voluntary Accidental Death and Dismemberment Application

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• Felonious Assault Accidental Death and Dismemberment Insurance Certificate - ON ALL BANK EMPLOYEES

Designation of Beneficiary

• Designation of Beneficiary Form

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For More Information Contact:
Karen Coufal, Vice President, VEBA Program
Janelle Ekeler, Assistant Vice President, VEBA Program
Jennifer Nowotny, Enrollment Manager, VEBA Program
Scott Yank, Executive Vice President, NBISCO

​NBA VEBA
233 South 13th Street, Suite 700
Lincoln, NE 68508
Phone: 888-419-8322 or 402-475-8322
Fax: 402-474-4376