Employee Life Insurance- New Plan

Boston Mutual Life Insurance Company, 1891
Employees applying for Life Insurance coverage after 7/1/2014 must select coverage under the "NEW PLAN" option.  

If you are not currently enrolled and are interested in applying for Life Insurance coverage from Boston Mutual contact the Human Resources office at (413) 565-4128.
  1. Age Banded Voluntary Coverage and Rates - NEW FY15 (PDF)
  2. Boston Mutual Life Insurance Enrollment Form
  3. Evidence of Insurability with HIPPA
  4. Active Employees Certificate of Coverage with Amendments (PDF)
  5. Active Employee Termination Form
  6. FY15 Life Insurance Changes (PDF)
  7. Active Employee Beneficiary Change Form