
3350 East Paris Ave. SE
Grand Rapids, MI 49512
p. 877.274.8796
f. 616.301.2149

Return the Application by May 31
The CSI Insurance Plan must receive your application form by May 31, 2008. After that date, you will be able to add coverage only with approval after completing Manulife’s Application and Evidence of Insurability form. New employees have 30 days from their hire date to select coverage up to $25,000 without medical underwriting. You may terminate Optional Critical Illness coverage at any time.