Western Insurance Specialties

Voluntary Supplemental Life Insurance for you and your family

     NSHE - Nevada System of Higher Education                            

Welcome to Apply anytime throughout the year!

Simply complete the Application and short Medical Form and we will take care of the rest.

Once you have been approved, we will take care of setting it up on payroll deduction. It’s that easy!

Electronic Secure Fillable Form

 

Application Form

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Medical Form

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Email US

service@wisnv.com

Western Insurance Specialties
PO BOX 12910
Reno NV 89510

Mailing Address

(775) 826-2333
(702) 383-9187
(800) 342-0707
FAX (775) 826-2390

Phone & FAX

 

Paper and Print Forms

Summary of Benefits Brochure

Download

Application Form

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Medical Form

Download

Beneficiary & Address Change Form

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Life Insurance Policy Certificate

Download

 

Employee and Spouse/Domestic Partner rates are the same in accordance with your respective ages. Maximum amount of coverage Employee may apply for is 10 times your salary not to exceed $750,000 (minimum amount is $10,000). Maximum Sp/Dp may apply for is $380,000. Employee must carry coverage in order to apply for Sp/Dp Coverage and Accidental Death & Dismemberment (AD&D) coverage. AD&D Life Insurance can be added to base coverage up to $750,000 regardless of salary (monthly rates are listed on Application Form). AD&D covers you on or off the job--24/7! Child coverage: one premium covers all eligible children in the household. Please see Brochure Summary of Benefits for rates and terms above age 65 and further details regarding child coverage provisions.

 

AGE
BRACKET

COST PER MO
$100,000.00
non-smoker

COST PER MO
$100,000.00
smoker

COST PER MO
$100,000.00
Spouse/Domestic Partner

UNDER 30

$7.50

$13.30

$8.90

30-34

$8.40

$15.60

$10.00

35-39

$11.10

$21.50

$13.70

40-44

$15.30

$33.00

$18.90

45-49

$25.80

$56.40

$32.60

50-54

$40.10

$86.90

$50.40

55-59

$67.50

$119.60

$79.80

60-64

$92.00

$153.10

$108.20