Apply for Membership and Insurance

Form Name

For:

Description:

Application for Membership
and Life Insurance

Current and retired
government employees
Current and retired
U.S. Postal Services
(USPS) employees

Apply to become a
WAEPA member and
purchase life insurance
for yourself and your dependents.
[Get info on this]

Application for New Federal Hires Under
Open Enrollment

First-time federal and USPS employees only

Apply for open enrollment
life insurance within 180
days of your original hire
date. [Get info on this]

Certify Your
Domestic Partner

New WAEPA
members

Current WAEPA
members
adjusting their coverage

This form is required for domestic partners to apply for dependent coverage. [Get info on this]

Domestic Partner Coverage is not available in Virginia.

Domestic partners must complete this Domestic Partner Affidavit and include it with the WAEPA Membership & Life Insurance application
or the
Additional Coverage application

Apply for WAEPA Membership

WAEPA membership only

This application is to be used only if you are joining WAEPA in order that your spouse/domestic partner, or non-dependent children can join WAEPA as Associate Members and apply for their own WAEPA coverage.

Apply for Associate Membership

For:

Description:

Application for WAEPA Associate Membership
and Life Insurance

Spouses, domestic partners, and adult
non-dependent
children, parents,
parent-in-law of
WAEPA members

Apply to join WAEPA and purchase life insurance
as an Associate Member.
[Get info on this]

Application to Join WAEPA Without Purchasing Life
Insurance

WAEPA members

Use this form if you are joining WAEPA only so your spouse, domestic partner, or adult
non-dependent child can
join WAEPA as an Associate Member and purchase their own life insurance.
[Get info on this]

Certify Your
Domestic Partner

New WAEPA
members

Current WAEPA members
adjusting their coverage

Applicants For Associate
Membership

This form is required for
domestic partners to apply
for associate membership.
[Get info on this]

Domestic Partner Coverage is not available in Virginia.

Domestic partners must complete this Domestic
Partner Affidavit and
include it with the WAEPA
Membership & Life
Insurance application or the Additional Coverage application

Adjust Your Coverage

For:

Description:

Change Your Name

Current WAEPA members

Use this form to update the name on your policy.

Change Your Address

Use this form to update the address on your policy.

Change Your Beneficiary

Use this form to change
your beneficiary.

Increase Your  Coverage

Use this form to increase the amount of your current WAEPA coverage. If you add coverage for your domestic partner, please attach a
domestic partner affidavit

Decrease Your Coverage

Use this form to reduce the amount of your current
WAEPA coverage.