Get Converting Group Life Insurance To Individual Cigna Form

This guide provides comprehensive instructions on completing the converting group life insurance to individual Cigna form online. It is designed to empower users by offering step-by-step assistance tailored to their individual needs.

Follow the steps to complete the conversion application effectively.

1. Press the ‘Get Form’ button to access the form and open it for completion.
2. Complete the front side of the conversion application, ensuring to enter your full name, residence, and social security number accurately.
3. Provide your date and place of birth as well as the amount of coverage you wish to convert.
4. Indicate your preferred method of premium payment (annual, semiannual, or quarterly) and whether you want to enroll in the Check-O-Matic payment option.
5. Specify if you would like the Automatic Premium Loan Provision by checking the appropriate box.
6. Fill in the amount of payment you are submitting with your application.
7. Detail your beneficiary information by listing the primary and contingent beneficiaries, their relationships to you, and their social security numbers.
8. Review your application to ensure all information is accurate and complete, including your signature and initial premium payment.
9. Send the completed application and payment to the designated address within 31 days following the termination of your group insurance coverage.

Ensure you complete your conversion application online to maintain your life insurance coverage seamlessly.