Please call Fidelity at 1-866-NAZARENE (629-2736) to obtain this form.
Here are the most common forms associated with the Nazarene 403(b) Retirement Savings Plan. If you have other questions, please contact us at 888-888-4656 or benefits@nazarene.org.
Note, for best results, Adobe Acrobat Reader is recommended when filling in the applications and forms. Be sure to download the document to your computer before starting to complete the pdf form, otherwise, you may lose your edits.
Use this form to make changes to preexisting LTD coverage through Nazarene Benefits USA.
This application is for enrolling in the Nazarene Long-Term Disability (LTD) Insurance Plan.
This application is for enrolling in the Accidental Death and Dismemberment (AD&D) Insurance Plan.
This form is used to designate or change beneficiaries for the Active Survivor Benefit, Retiree Survivor Benefit, Supplemental Group Term, District Life, Missionary Life and Accidental Death & Dismemberment insurance plans.
This application is for enrolling in the Nazarene Supplemental Group Term Life Insurance Plan.
Please call Fidelity at 1-866-NAZARENE (629-2736) to obtain this form.