Legal Security Package (Gold Plan Participants)

The Covered Gold Plan Participant or his or her spouse or domestic partner is entitled to one (1) Legal Security Package per year. The Legal Security Package contains forms required to prepare a Health Care Proxy, Living Will, Durable Power of Attorney (long form) and Simple Will. All documents included in the Legal Security Package must be prepared for the same Covered Individual. You can obtain your Legal Security Package by printing it from the Administrator’s Web site, If you do not have Internet access, contact the Administrator at 866‑577-7770 and a Legal Security Package will be sent to you.

Should you wish to have non-identical documents prepared for you and your spouse or domestic partner at no cost, you can get one set one year and the other set the second year of plan membership. If you wish to have non-identical documents drawn up at the same time, you can purchase the Elder Law Rider, which includes an additional Legal Security Package (see pages 13-17).

With respect to the Simple Will benefit only, if a Covered Participant (Gold Plan) or his or her spouse or domestic partner has not used the Simple Will benefit in a plan year, the Covered Participant and his or her spouse or domestic partner are entitled to receive free Reciprocal Simple Wills in the consecutive plan year. This can be accomplished by checking the appropriate box on the Legal Security Package questionnaire.

  • Health Care Proxy
  • Living Will
  • Durable Power of Attorney
  • Simple Will