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OSTRA Membership Application and Beneficiary Designation Form

 

OHIO STATE TROOPERS RETIREES ASSOCIATION, INC.

190 W. Johnstown Rd. * Gahanna, OH  43230

 614-781-7686 * 614-781-7685 (Fax)

 

 

The association was created in June of 2001 and currently has members from all ranks, sections and uniforms of retirees of the division.  The purpose of OSTRA is to promote issues, which would enhance the law enforcement profession; to ease the transition from an active member of the Ohio Highway Patrol to a retired member of the Ohio Highway Patrol; to research new avenues for health insurance and other benefits for retired members of the Ohio Highway Patrol and to work with the Department of Public Safety and the Superintendent of the State Highway Patrol in furthering these purposes. 

 

As an OSTRA Member, you have a trustee elected by your district lodge to help oversee and guide your elected officers of OSTRA. 

 

Your elected officers are as follows: President, Dennis Gorski, Vice-President, Tracy Keller, Secretary, Dave Stevenson and Treasurer, Mike Davis. The elected officers and trustees will be working hard to bring you new services in the future. We want to hear from you regarding concerns you have about your retirement.

 

As a dues paying member, you are eligible for the Accidental Death and Dismemberment Benefit through American Income Life in the amount of $4,000,as long as it is declared an accident.  If the member should pass due to (including but not limited to) disease, natural causes, suicide or being under the influence of drugs or alcohol, or the voluntary taking of drugs not prescribed by a doctor or committing or attempting to commit a felony or assault, the benefit will not pay out.  To initiate a claim for the benefit, please contact the OSTRA office at 614.781.7686 within three (3) months of the member’s death.

 

As a dues paying member, you are also eligible for the blanket Two Thousand Dollar ($2,000) death benefit through the Ohio State Trooper Retirees Association (OSTRA).  Please note that if the member should pass from suicide, being under the influence of alcohol or the voluntary taking of drugs not prescribed by a doctor or committing or attempting to commit a felony or assault, the benefit will not pay out. Benefit limits (age requirements and dollar amounts) are subject to change per the Combined Board.  To initiate a claim for the benefit, please contact the OSTRA office at 614.781.7686 within three (3) months of the member’s death.

 

It is suggested that you designate a primary and contingent beneficiary on the Beneficiary Designation form and forward it to the OSTRA.  Please note that the benefit cannot be split among multiple surviving beneficiaries.  For example, if you have three children, you must designate a primary and a contingent beneficiary but you are not permitted to designate a third.  The benefit will pay out to the primary beneficiary unless they precede you in death and then it will pay out to the contingent beneficiary listed.  

 

To avoid needless delay in initiating payment of benefits to the member’s beneficiary, if you have not already done so, we request that you designate a primary and contingent beneficiary on the Beneficiary Designation form and forward it to the OSTRA.  The Beneficiary Designation form is available by clicking on the link below.

 

OSTRA Application Process/Membership Fees

 

To apply for OSTRA membership, you must complete the attached Membership Application and Beneficiary Designation Form and mail them to OSTRA at the address listed above.  You can pay by authorizing the automatic payroll deduction of $1.00 per month or you can make a check payable to OSTRA in the amount of $12.00 for the entire year. 

 

 

If the calendar year has already begun, you may deduct One Dollar ($1.00) per month that has already passed.  For example, if you would like to begin your membership and mail in your payment during the month of February, then your benefits would begin the month of March and your check should be in the amount of $10.00 for the remainder of the year.

 

If you have any questions about this association, please feel free to contact our office at 614-781-7686.

 

Sincerely,

 

Ohio State Troopers Retirees Association (OSTRA)

CLICK ON THE LINKS BELOW FOR THE APPLICATION AND BENEFICIARY DESIGNATION FORM TO PRINT AND MAIL TO OSTRA

 

OSTRA MEMBERSHIP APPLICATION

 

BENEFICIARY DESIGNATION FORM