web1.lifebenefits.com Open in urlscan Pro
170.11.34.38  Public Scan

Form analysis
1 forms found in the DOM

POST /svcs/ssl/onlineEoi/onlineEoi.do

<form id="eoiCaptureCommand" action="/svcs/ssl/onlineEoi/onlineEoi.do" method="post" autocomplete="off">
  <div class="text-input dsg-m-b-20 ">
    <label for="policyAdminID">Policy number</label><input id="policyAdminID" name="policyAdminID" type="text" value="" autocomplete="off">
  </div>
  <div class="text-input dsg-m-b-20 ">
    <label for="policyAccessKey">Access key</label><input id="policyAccessKey" name="policyAccessKey" type="text" value="" autocomplete="off">
  </div>
  <script src="https://www.google.com/recaptcha/api.js"></script>
  <div class="wrapper clearfix">
    <div class="recaptcha-box float-left">
      <div class="g-recaptcha " data-sitekey="6LcU1ggTAAAAAD3ei0g5F1FsZ1cUKtkDR660sd4l">
        <div style="width: 304px; height: 78px;">
          <div><iframe title="reCAPTCHA"
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        </div><iframe style="display: none;"></iframe>
      </div>
    </div>
  </div>
  <button class="dsg-btn-primary dsg-btn-block-mobile dsg-m-b-20" name="_eventId_submit"> Log in</button>
  <div>
    <input type="hidden" name="_csrf" value="eda19a6c-e1f1-4842-88bb-949f0988d3e6">
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</form>

Text Content

To get the most out of your visit, your browser should have JavaScript enabled.
These options can be set using the Options/Preferences options for your browser.

YOUR SESSION IS ABOUT TO EXPIRE.

For your security, your session ends automatically after 29 minutes of
inactivity.

Your current session will expire in 90 seconds, at

Continue working Log out now


YOU ARE LEAVING OUR WEBSITE.

The website you are being directed to is not created by Securian Financial
Group, Inc. or any of its affiliates. The new website may be subject to privacy
policies, security policies and terms and conditions different from those at
Securian Financial Group.

OK, proceed Go back


CANCEL APPLICATION?

Are you sure you want to cancel your application? You will lose all of the
information you've entered and will have to start over on your next visit.

No, I want to keep working
Yes, I want to cancel
 * Contact
   
   (866) 885-6844
   
   If you are having trouble accessing this site or have questions about your
   coverage, contact your employer.
   
   For questions about the medical underwriting process, contact us at the
   number above.
   
   Our mailing address:
   Securian Life Insurance Company
   Group Insurance
   400 Robert Street North
   St. Paul MN 55101-2098
   Fax: 651-665-4827

Contact
Online EOI


WELCOME TO ONLINE EOI

Here, you can provide evidence of insurability, sometimes called proof of good
health, for the group life insurance you have elected.


LOGIN

To begin, enter the policy number and access key provided by your employer or
administrator.

Policy number
Access key

Log in



BEFORE YOU BEGIN

 * This process should take about 10-30 minutes.

 * You can't save your work and return later.

 * If you have elected spouse coverage that requires health questions, they must
   be completed during the same session.

 * Have your medical records available during the process.

 * If you received a letter from us mailed directly to your home or an email
   from LifeBenefits containing a user ID and password, use that information to
   log in at LifeBenefits.com instead.

RESOURCES

 * Terms of use
 * Privacy policy
 * Legal notices
 * System requirements
 * Accessibility notice

Insurance
Investments
Retirement

Insurance products are issued by Minnesota Life Insurance Company or Securian
Life Insurance Company, a New York authorized insurer. Both companies are
headquartered in Saint Paul, MN. Product availability and features may vary by
state. Each insurer is solely responsible for the financial obligations under
the policies or contracts it issues. Securities offered through Securian
Financial Services, Inc., Member FINRA/SIPC.

© 2005-22 Securian Financial Group, Inc. All rights reserved.

OnlineEOI