Enroll Today!

To apply for Voluntary Long-Term Disability and Voluntary Term Life insurance, download, complete and mail the Enrollment Form to:

Bill Judge & Associates, Inc.
9609 Gayton Road, Suite 200
Richmond, VA  23238

Important Note

Voluntary Long-Term Disability
If you're applying for coverage outside the open enrollment period offered, you must complete the attached Evidence of Insurability form.

Voluntary Term Life
Members wanting to increase the amount of voluntary term life coverage over the guarantee issue limit offered must complete the Evidence of Insurability form. 

How to File a Claim

Please follow the instructions listed on the forms page of mutualofomaha.com.

How to Change Your Beneficiary

Members wanting to change their beneficiary or beneficiaries must complete
a Beneficiary Designation form.