Get The Standard Group Life Portability Form - Mark Iii Brokerage

This guide provides step-by-step instructions for users on how to efficiently fill out the The Standard Group Life Portability Form - Mark III Brokerage online. Ensuring accurate completion of this form is crucial for securing your Group Life Insurance benefits.

Follow the steps to complete your portability form online.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Begin with member information. This section requires your full name, sex, street address, city, state, zip code, telephone number, and social security number. Ensure all information is accurate.
3. Enter your birthdate in the specified format (month, day, year). This is crucial for eligibility verification.
4. If applicable, include dependents' information. Provide your spouse's name and birthdate. This ensures coverage extends to eligible dependents.
5. Fill in your employer's information, including the group name and number. If applicable, state the employer’s HR contact and their phone number.
6. Complete the eligibility section. Answer the questions regarding your insurance coverage history and employment termination details.
7. Specify the amount of insurance requested under both Group Life and AD&D Insurance, if applicable. Be mindful of the premium rate calculations provided.
8. Designate beneficiaries for your Group Life Portability Insurance. Fill out the section thoroughly, specifying full names, relationships, and percentages of benefit.
9. Review the agreement section carefully. Ensure all information is complete and accurate, then sign and date the form.
10. After completion, save changes, download a copy for your records, and print or share the form as necessary. Ensure all required documents are attached before submission.

Start filling out your portability form online now to secure your Group Life Insurance benefits.