First Responders Benefit Application

Benefit

WoodmenLife will pay a $25,000 member benefit if a good-standing member is killed while performing his/her duties as a nonmilitary First Responder. First Responders may include firefighters, EMT/paramedics, police or a person performing a supporting role to such individuals. Other conditions may also apply.

Conditions and Limitations

1. Must be a good-standing member of WoodmenLife on the date of death.
2. Member must be an officially registered non-military first responder. First responders include firefighters, EMT/ paramedics, police or a person performing a supporting role to such individuals.
3. Application must be received in the Home Office within one year of the date of death.
4. The benefit will be paid if the member dies or sustains injuries that result in death while in the performance of his or her duties, or as a result of an accident, while responding to or returning from an emergency. A member who dies from a heart attack or stroke following a non-routine stressful or strenuous physical emergency activity is in the performance of his or her duties if death occurs no later than 24 hours after the activity.
5. The benefit is available to be paid to the family of a good-standing member who dies while performing his/her duties.
6. WoodmenLife will pay a $25,000 benefit to the family of the deceased. If there is no spouse, child, sibling, relative, or anyone else responsible for paying expenses, the benefit may not be paid.
7. WoodmenLife must receive satisfactory proof of death. Documents required include: 

           a) report prepared by law enforcement officials; 

           b) documentation establishing that the deceased was an officially registered first responder; and 

           c) death certificate.

Definitions

1. Good-standing Benefit Member – a WoodmenLife member who has made all payments according to the terms of the benefit certificate.
2. A person performing a “supporting role” to the first responder must be an officially registered member of a fire department, rescue unit, police department, etc. in order to qualify. Supporting roles include trainees, explorers, dispatchers, office personnel, search and rescue teams, etc.

Before you begin, don't forget

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Questions

• For questions about the First Responder Benefit, please contact your WoodmenLife Representative or a Fraternal Benefits Specialist at 1-402-271-7233.
• If you need assistance with the application portal or other technical assistance with the Submittable website, don't hesitate to use the Submittable Help Center and reach out to Customer Support.