Western Maryland Health System

Life Insurance

Listed below are forms about life insurance plans (click on the form name to open and print).

Form	Purpose
Voluntary Accidental Death and Dismemberment Insurance Certificate - (PDF File)	Printable version of Voluntary AD&D Insurance
Business Travel Accident Insurance Certificate - (PDF File)	Printable version of Business Travel Accident Insurance
Business Travel Amendment - (PDF File)	Printable version of a Business Travel amendment
Group Basic Life Insurance - (PDF File)	Printable version of Employer Paid Basic Life Insurance summary plan description

If you have any questions regarding this benefit, please call Human Resources at 240-964-8157 or 48159 or email June Ward, Benefits Coordinator at jward@wmhs.com or Jill Rowley, Benefits Assistant at jrowley@wmhs.com or call 240-964-8159.