Thank you for your interest in enrolling for an insurance product issued by ReliaStar Life Insurance Company. In order to process your electronic enrollment, and deliver electronic enrollment materials and notices (the “Records”) (if any), we must obtain your consent for electronic transactions and Records. Please review the terms of the Electronic Consent Disclosure by clicking here.
By clicking the Next button below you agree to the terms of the Electronic Consent Disclosure and consent to this electronic enrollment transaction and the electronic delivery of any Records. If you do not wish to enroll electronically or to receive Records electronically, you may cancel or abandon the enrollment process before completing it.
Insurance coverage is provided under the terms of a group life insurance policy, Group Policy #67180-1, issued and delivered in California to California State Firefighters’ Employee Welfare Benefits Corporation as the policyholder. The group life insurance policy is issued by ReliaStar Life Insurance Company, Minneapolis, Minnesota. The policy is administered on behalf of ReliaStar Life Insurance Company by Myers-Stevens & Toohey Co., Inc., an insurance administrator licensed in California. Coverage may not be available in all states. Contact Myers-Stevens & Toohey Co., Inc. for further details. Policy form LP00GP.