Enrollment Booklet
View letter from Treasurer Dale R. Folwell, CPA and learn about: benefits, premiums, contact and how to enroll.
Benefit
Information
This is your resource for important information about your supplemental benefits.
File Claim and Service Forms
Dental
Vision
Hearing Aid Discount (included with Dental or Vision)
Identity Theft Protection
Enroll Now
3 easy ways to enroll in identity theft protection, dental and vision benefits.
- Enroll Online
Fill out the enrollment form online and then click submit. It is that easy! - Download Enrollment Form
and follow the instructions on the form to submit by mail, email or fax. - Enroll by phone
Call Toll Free (855) 627-3847
New Retirees
Pierce Insurance will mail you an enrollment book that summarizes the supplemental benefits that are available to you as a retiree with the North Carolina Retirement Systems. To obtain identity theft protection, dental and vision insurance, you must complete the enrollment process within 60 days after you have received your first retirement benefit payment.
Are you a current policyholder for Life, Accident or Critical Illness and need to access service or claim forms?
Critical Illness & Accident Insurance Claims & Customer Care
Allstate Benefits
Call: 866-828-8501
Claims Fax: 866-427-3692
E-mail: [email protected]
Visit: www.allstatebenefits.com/mybenefits
Write to:
Allstate Benefits Claims
1776 American Heritage Life Drive
Jacksonville, FL 32224-6687
Critical Illness & Accident Insurance Claims & Customer Care
Allstate Benefits
Call: 866-828-8501
Claims Fax: 866-427-3692
E-mail: [email protected]
Visit: www.allstatebenefits.com/mybenefits
Write to:
Allstate Benefits Claims
1776 American Heritage Life Drive
Jacksonville, FL 32224-6687
Combined Insurance Company
LifeTime Benefit Term
Life Brochure
Beneficiary Change Form
Service Form
Death Claim Form
Owner Change Form
Contact
Call: 855-241-9891
(Claims option 2, Customer Service option 3)
Claims Fax: 603-352-1179
Email: [email protected]
Write to:
Selman and Company
17 Church Street
PO Box 506
Keene, NH 03431
Fidelity Life Association
Graded Death Benefit
Beneficiary Change Form
Service Form
Death Claim Form
Owner Change Form
Contact
Call: 877-352-3303
(Claims option 2, Customer Service option 3)
Claims Fax: 603-352-1179
Email: [email protected]
Write to:
Selman and Company
17 Church Street
PO Box 506
Keene, NH 03431